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NPI Code Detail

MEDICARE: DAVID ALDEN PULLIAM LMHC

MEDICARE: DAVID ALDEN PULLIAM LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH60274245WA
2101YM0800XMental Health CounselorC2814OR

General Provider Information

NPI Number : 1063787216
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALDEN PULLIAM LMHC
Provider Business Mailing Address
First Line : PO BOX 2429
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-8486
Country : US
Telephone Number : 360-577-8140
Fax Number :
Provider Business Practice Location Address
First Line : 7700 NE 26TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-0672
Country : US
Telephone Number : 360-397-8228
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2012
Last Update Date : 02/20/2026

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Directions to “ DAVID ALDEN PULLIAM LMHC” Practice Location

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