Individual provider · Type 1 NPI

Constance Shamp

Mental Health Counselor · Longview, WA

NPI number 1154726503 Active

Practice location

720 14th Avenue
Longview, WA 98632

Call (360) 423-0203 Map

Fax (360) 577-0269

Mailing address

PO Box 1847
Longview, WA 98632

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60474028 (WA)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1154726503

Constance Shamp's National Provider Identifier is 1154726503, issued on Oct 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Apr 7, 2020.