Individual
AMI BITTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632-2315
(360) 423-0203
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
SC60984404
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107412
—
WA
Enumeration date
08/14/2018
Last updated
11/06/2019
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