Individual
MRS. DIANA CAROLE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0187
Mailing address
COLUMBIA WELLNESS, PO BOX 1847, LONGVIEW, WA 98632
(360) 353-9369
(360) 577-0187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61606018
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/17/2019
Last updated
09/16/2024
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