Healthcare Provider Details

I. General information

NPI: 1043581697
Provider Name (Legal Business Name): JEFFREY LOREN CAUSEY PHD, LMHC, LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/12/2012
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2009 F ST
VANCOUVER WA
98663-3345
US

IV. Provider business mailing address

2009 F ST
VANCOUVER WA
98663-3345
US

V. Phone/Fax

Practice location:
  • Phone: 503-660-8426
  • Fax: 360-737-8269
Mailing address:
  • Phone: 503-660-8426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC2920
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60173849
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: