Mariah Lelise Haskew-Gallant, CPC
Counselor, Mental Health in Vancouver, WA. Individual provider (NPI-1).
NPI number1801206602
StatusActive
Last updated in NPPESMay 13, 2014
Details
- NPI
- 1801206602
- Entity type
- Individual (NPI-1)
- Name
- Mariah Lelise Haskew-Gallant
- Credential
- CPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2014
- Last updated
- May 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CG60461124 | WA | Yes |
Practice location
7803 Ne Fourth Pln RdVancouver, WA 98662-7246
Phone 360-397-9211 · Fax 360-260-4900
Mailing address
Po Box 34703Seattle, WA 98124-1703
Phone 206-764-0502
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