Individual
CODI SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHCA
Contact information
Practice address
1400 COMMERCE AVE, LONGVIEW, WA 98632-3756
(360) 998-2047
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(844) 612-6673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61032274
WA
101YM0800X
Mental Health Counselor
Primary
MC70122874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149304
—
WA
Enumeration date
01/14/2020
Last updated
04/17/2026
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