Healthcare Provider Details

I. General information

NPI: 1740526706
Provider Name (Legal Business Name): IN TOUCH COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2012
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 SE 192ND AVE STE 200
CAMAS WA
98607-7475
US

IV. Provider business mailing address

2005 SE 192ND AVE STE 200
CAMAS WA
98607-7475
US

V. Phone/Fax

Practice location:
  • Phone: 360-718-8544
  • Fax: 360-334-9959
Mailing address:
  • Phone: 360-718-8544
  • Fax: 360-334-9959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW6019162
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JANELLE E ADAMS
Title or Position: OWNER
Credential:
Phone: 360-718-8544