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Organization

THERAPEUTIC CHANGE PLLC

Active
Other names
Therapeutic Change PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
SUMMER LYN BROWN M.S. (OWNER/ CLINICIAN)
(360) 602-1477
Entity
Organization

Contact information

Practice address
1314 KAUFFMAN AVE, VANCOUVER, WA 98660-2725
(360) 602-1477
(360) 334-5508
Mailing address
1314 KAUFFMAN AVE, VANCOUVER, WA 98660-2725
(360) 602-1477
(360) 334-5508

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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