Individual
MS. GITIKA TALWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PY
Contact information
Practice address
15455 65TH AVE S, COWLITZ TRIBAL HEALTH SERVICES, TUKWILA, WA 98188-2534
(206) 721-5170
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHCA.MC.60503787
WA
103TC0700X
Clinical Psychologist
Primary
PY 60533331
WA
Other
Enumeration date
10/03/2014
Last updated
08/11/2015
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