Individual
DR. ANSON L SERVICE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LMHC
Contact information
Practice address
717 NE 61ST ST, #202, VANCOUVER, WA 98665-8753
(360) 718-6548
(360) 718-6554
Mailing address
717 NE 61ST ST, #202, VANCOUVER, WA 98665-8753
(360) 718-6548
(360) 718-6554
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH60413305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049180
—
WA
Enumeration date
01/09/2014
Last updated
04/14/2017
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