Doctor Name: | CLAUDE OUELLETTE |
NPI Number: | 1023442514 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | |
Business Practice Address: | 403 W State St Ste 206 Aberdeen, WA - 985206139 |
Business Phone Number: | 3605931574 |
Business Fax Number: | |
Mailing Address: | 403 W State St, Ste 206 ABERDEEN |
State: | WA |
Postal Code: | 985206139 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |