Individual
MARC DOUGLASS WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 E FOURTH PLAIN BLVD BLDG 17, VANCOUVER, WA 98661-3717
(360) 397-8246
(360) 397-8250
Mailing address
1707 NW 106TH ST, VANCOUVER, WA 98685-5060
(458) 392-8193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/15/2023
Last updated
11/15/2024
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