Michael Spain

NPI #1972063063 in Centralia, Washington

Provider Information

NPI Number: 1972063063
Entity Type: Individual
Name: Michael Spain
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Mar 23, 2019
Last Updated: Feb 11, 2025

Practice Location

Address: 2428 W REYNOLDS AVE
City: Centralia
State: Washington
ZIP Code: 98531-4554
Phone: (360) 330-9044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary
Counselor - Mental Health — Mental Health	101YM0800X

Additional Practice Locations

720 14th Ave

Longview, WA, 98632-2315

(360) 423-0203

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