Individual
CARLOS R CARREON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
600 BROADWAY ST, LONGVIEW, WA 98632-3256
(360) 414-2236
(360) 414-2788
Mailing address
155 SYLVAN WAY, LONGVIEW, WA 98632-9628
(360) 578-3284
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW00006789
WA
1041C0700X
Clinical Social Worker
Primary
LW00006789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8938599
CRIME VICTIMS
WA
Enumeration date
09/25/2005
Last updated
09/11/2025
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