Organization
GREAT NORTHERN CONSULTING
Active
Other names
Great Northern Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA CHUMAK (FINANCE MANAGER)
(253) 292-6391
Entity
Organization
Contact information
Practice address
1801 D ST STE 4, VANCOUVER, WA 98663-3376
(253) 449-8033
Mailing address
1801 D ST STE 4, VANCOUVER, WA 98663-3376
(100) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
MENTAL HEALTH THERAPY
WA
Enumeration date
06/14/2022
Last updated
06/14/2022
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