Individual
MR. LANCE G ECHO-HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
6715 NE 63RD ST # 469, VANCOUVER, WA 98661-1980
(360) 608-5141
Mailing address
6715 NE 63RD ST # 469, VANCOUVER, WA 98661-1980
(360) 608-5141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005180
WA
101YM0800X
Mental Health Counselor
C1753
OR
101YM0800X
Mental Health Counselor
LH00009733
WA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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