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Individual

MARLA MOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
60 NW BOISFORT ST., CHEHALIS, WA 98532
(360) 970-8778
(866) 270-5866
Mailing address
6322 201ST AVE SW, CENTRALIA, WA 98531-9670
(360) 970-8778
(866) 270-5866

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LH60611725
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790140812
NPI
WA
05
2050195
WA
Enumeration date
12/16/2015
Last updated
10/07/2016
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