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Individual

DANIELLE SUMMER WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
(360) 423-2311
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
60849675
WA
101YM0800X
Mental Health Counselor
60849675
WA
175T00000X
Peer Specialist
Primary
60849675
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2102778
WA
Enumeration date
04/16/2018
Last updated
12/10/2019
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