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CAMERON TAYLOR COUNSELING PLLC

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Company Details

Legal Name: CAMERON TAYLOR COUNSELING PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 24th 2019
Expiration date: 30 Sep 2025
UBI Number: 604 522 728
ZIP code: 98660
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 701 COLUMBIA ST APT 211, VANCOUVER, WA, 98660-3469, UNITED STATES

Contact Details

E-Mail: CAMERON@CAMERONTAYLORCOUNSELING.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CAMERON TAYLOR Registered Agent 701 COLUMBIA ST APT 211, VANCOUVER, WA, 98660-3469, UNITED STATES

Key Officers & Management

Name Role Address
CAMERON TAYLOR Executor 701 COLUMBIA ST, UNIT 211, VANCOUVER, WA, 98660-3469, UNITED STATES
CAMERON TAYLOR Governing Person 701 COLUMBIA ST, UNIT 211, VANCOUVER, WA, 98660-3469, UNITED STATES

National Provider Identifier

NPI Number:
1598363517
Certification Date:
2020-10-12

Authorized Person:

Name:
CAMERON TAYLOR
Role:
LICENSED MENTAL HEALTH COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change CAMERON TAYLOR COUNSELING LLC CAMERON TAYLOR COUNSELING PLLC 2019-10-31
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