Licensed2listen

NPI #1609168889 in Longview, Washington

Provider Information

NPI Number
1609168889
Entity Type
Organization
Organization Name
Licensed2listen
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 6, 2011
Last Updated
Jun 9, 2011

Practice Location

Address
1339 COMMERCE AVE
Address 2
SUITE 305
ZIP Code
98632-5347
Phone
(360) 703-7171

Authorized Official

Name
COLETTE ANNETTE GIOVANNIELLO, M.A., LMFT
Title
MARRIAGE AND FAMILY THERAPIST
Phone
(360) 703-7171

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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