Individual
MR. ELI TITO GALVAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2005 SE 192ND AVE STE 200, CAMAS, WA 98607-7475
(360) 217-9125
Mailing address
17101 SE 19TH ST, VANCOUVER, WA 98683-3465
(228) 224-7603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LH60918078
WA
102L00000X
Psychoanalyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH60918078
LICENSE NUMBER
WA
Enumeration date
07/01/2016
Last updated
04/04/2024
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