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COWLITZ COUNTY THERAPIST INC

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Company Details

Legal Name: COWLITZ COUNTY THERAPIST INC
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 3rd 2020
Expiration date: 31 Aug 2025
UBI Number: 604 638 173
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1157 3RD AVE STE 100, LONGVIEW, WA, 98632-6007, UNITED STATES

Contact Details

E-Mail: PANDERSENLMFT@GMAIL.COM
Phone Number: +1 360-562-6224

Nature of Business

Health Care, Social Assistance & Service Organization, CHILD AND FAMILY THERAPIST; COUPLES COUNSELING; TRAUMA COUNSELING

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Registered Agent Information

Name Role Address
PATRICIA ANDERSON Registered Agent 1157 3RD AVE STE 100, LONGVIEW, WA, 98632-6007, UNITED STATES

Key Officers & Management

Name Role Address
PATRICIA ANDERSEN Governing Person 144 W CANYON VIEW DR, LONGVIEW, WA, 98632-5730, UNITED STATES
HENRY BOYCE Incorporator 24 ROY ST STE 394, SEATTLE, WA, 98109-4018, UNITED STATES

National Provider Identifier

NPI Number:
1588258982
Certification Date:
2021-02-25

Authorized Person:

Name:
PATRICIA ANDERSEN
Role:
THERAPIST AND OWNER
Phone:

Taxonomy:

Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

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