Connie Mae Osborne, MED.
Counselor, Mental Health in Longview, WA. Individual provider (NPI-1).
NPI number1497979439
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497979439
- Entity type
- Individual (NPI-1)
- Name
- Connie Mae Osborne
- Credential
- MED.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | RC00055832 | WA | Yes |
Practice location
921 14th AveLongview, WA 98632-2316
Phone 360-423-0203 · Fax 360-423-2311
Mailing address
560 20th AveLongview, WA 98632-1518
Phone 136-042-5669 · Fax 136-042-3231
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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