Healthcare Provider Details

I. General information

NPI: 1962966127
Provider Name (Legal Business Name): ANNE TOWLER COUNSELING PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 12/21/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 SE 124TH AVENUE
VANCOUVER WA
98684
US

IV. Provider business mailing address

108 SE 124TH AVENUE
VANCOUVER WA
98684
US

V. Phone/Fax

Practice location:
  • Phone: 626-376-3035
  • Fax: 360-626-7005
Mailing address:
  • Phone: 626-376-3035
  • Fax: 360-626-7005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: THERESA A TOWLER
Title or Position: OWNER, CEO & PROVIDER
Credential: LMHC
Phone: 626-376-3035