Individual
HEATHER KRISTINE TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
2232 S SILVER LAKE RD, CASTLE ROCK, WA 98611-8021
(360) 274-3262
(360) 274-3345
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 274-3262
(360) 274-3345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60771834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118103
—
WA
Enumeration date
12/28/2018
Last updated
05/17/2023
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