Individual
CLEO PARK-STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1498 SE TECH CENTER PL STE 300, VANCOUVER, WA 98683-5509
(360) 619-2226
Mailing address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.70079555
WA
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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