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NPI Code Detail

MEDICARE: STACIE NP TOWNSEND LMHC, LMFTA

MEDICARE:   STACIE NP TOWNSEND  LMHC, LMFTA
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 CounselorMHC.LH.70108497WA
2106H00000XMarriage & Family TherapistMFTA.MG.61599074WA

General Provider Information

NPI Number : 1437711371
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACIE NP TOWNSEND LMHC, LMFTA
Provider Business Mailing Address
First Line : 11005 NE 88TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98662-1486
Country : US
Telephone Number : 360-903-4565
Fax Number :
Provider Business Practice Location Address
First Line : 1498 SE TECH CENTER PL STE 300
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-5509
Country : US
Telephone Number : 360-619-2226
Fax Number : 360-326-9691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 06/12/2026

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