Individual
EITAN CODISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
24415 NE 219TH ST, BATTLE GROUND, WA 98604-9694
(503) 808-0373
Mailing address
24415 NE 219TH ST, BATTLE GROUND, WA 98604-9694
(503) 808-0373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R10171
OR
101YP2500X
Professional Counselor
Primary
R10171
OR
Other
Enumeration date
10/10/2024
Last updated
04/14/2026
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