Garrett David Souder
Individual provider Active NPI Mental Health Counselor · Vancouver, WA
NPI 1992451645 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1992451645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254 - Phone
- (360) 993-3000
- NPI assigned
- Feb 22, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
Mailing address
6926 NE Fourth Plain Blvd
Vancouver, WA 98661-7254
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All providers in Vancouver, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.