Organization
PACIFIC COUNSELING SERVICES
Active
Organization
PACIFIC COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE DUCHARME-BRODIE (BEHAVIORAL THERAPIST/OWNER)
(360) 931-0937
Entity
Organization
Contact information
Practice address
1801 1ST AVE STE 2B6, LONGVIEW, WA 98632-3270
(360) 931-0937
(360) 353-3232
Mailing address
1801 1ST AVE STE 2B6, LONGVIEW, WA 98632-3270
(360) 931-0937
(360) 353-3232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LH60149240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102397
—
WA
Enumeration date
08/21/2018
Last updated
08/21/2018
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