Organization
CHILDRENS MENTAL HEALTH AND PARENTING SUPPORT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GLOSE LCSW (SOLE MEMBER)
(360) 784-0559
Entity
Organization
Contact information
Practice address
6715 NE 63RD ST STE 103-268, VANCOUVER, WA 98661-1980
(360) 784-0559
Mailing address
6715 NE 63RD ST STE 103-268, VANCOUVER, WA 98661-1980
(360) 784-0559
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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