Organization
CLARK-COWLITZ FIRE RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE NICOLE ROEST (BEHAVIORAL HEALTH CRISIS RESPONDER)
(360) 887-1684
Entity
Organization
Contact information
Practice address
911 N 65TH AVE, RIDGEFIELD, WA 98642-7725
(360) 887-4609
(360) 887-0862
Mailing address
911 N 65TH AVE, RIDGEFIELD, WA 98642-7725
(360) 887-4609
(360) 887-0862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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