Healthcare Provider Details

I. General information

NPI: 1568098853
Provider Name (Legal Business Name): CONNER ARMAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2020
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 14TH AVE
LONGVIEW WA
98632-2316
US

IV. Provider business mailing address

215 REPUBLIC AVE APT 8201
LAFAYETTE LA
70508-7080
US

V. Phone/Fax

Practice location:
  • Phone: 360-423-0203
  • Fax: 360-423-2311
Mailing address:
  • Phone: 318-201-1938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC11548
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC.LH.61363544
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: