Healthcare Provider Details

I. General information

NPI: 1912860776
Provider Name (Legal Business Name): WINNIE MONOHAN MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 DELAWARE ST
LONGVIEW WA
98632-2367
US

IV. Provider business mailing address

PO BOX 2649
OLYMPIA WA
98507-2649
US

V. Phone/Fax

Practice location:
  • Phone: 360-414-7878
  • Fax: 360-414-7876
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number70078113
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: