Wild Heart Society Pllc
NPI #1700344298 in Vancouver, Washington
Provider Information
- NPI Number
- 1700344298
- Entity Type
- Organization
- Organization Name
- Wild Heart Society Pllc
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Mar 4, 2019
- Last Updated
- Mar 4, 2019
Practice Location
- Address
- 15604 NE 28TH AVE
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98686-1541
- Phone
- (360) 521-3055
Authorized Official
- Name
- MACKENZIE DUNHAM, LCSW
- Title
- PARTNER/THERAPIST
- Phone
- (360) 521-3055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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