Individual provider · Type 1 NPI

Mark Anthony Vellucci, MA

Mental Health Counselor · Vancouver, WA

NPI number 1164525580 Active

Practice location

11818 SE Mill Plain Blvd, Suite 311C
Vancouver, WA 99684

Call (360) 571-3981 Map

Fax (503) 578-2454

Mailing address

11818 SE Mill Plain Blvd Ste 311C
Vancouver, WA 98684-5091

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH00004640 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1164525580

Mark Anthony Vellucci, MA's National Provider Identifier is 1164525580, issued on Sep 7, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Jun 26, 2009.