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CRESTVIEW PSYCHOLOGICAL SERVICES, P.S.

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Company Details

Legal Name: CRESTVIEW PSYCHOLOGICAL SERVICES, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 30th 1997
Expiration date: 31 May 2026
UBI Number: 601 794 803
ZIP code: 98264
City: Lynden
County: WHATCOM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 286 AARON PL, LYNDEN, WA, 98264-9602, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 331, LYNDEN, WA, 98264-0331, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $857

Contact Details

E-Mail: ADMIN@CRESTVIEWPSYCH.COM
Phone Number: +1 360-398-8127

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DANIEL D BRINKMAN Registered Agent 286 AARON PL, LYNDEN, WA, 98264-9602, UNITED STATES

Key Officers & Management

Name Role Address
DANIEL BRINKMAN Governing Person 286 AARON PLACE, LYNDEN, WA, 98264, UNITED STATES

National Provider Identifier

NPI Number:
1992782015
Certification Date:
2022-04-21

Authorized Person:

Name:
DR. DANIEL DALE BRINKMAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
3603545399
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