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Individual

MR. DAVID F CALVERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LMHC

Contact information

Practice address
1570 N NATIONAL AVE, SUITE 206, CHEHALIS, WA 98532-2215
(360) 704-8331
Mailing address
4636 KAPALEA WAY SE, LACEY, WA 98503-2182
(360) 701-6469

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60040897
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
603278820
UNIFORM BUSINESS IDENTIFICATION
WA
Enumeration date
06/04/2013
Last updated
06/05/2013
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