Individual provider · Type 1 NPI

Jonathan Edgerton

Mental Health Counselor · Longview, WA

NPI number 1285174227 Active

Practice location

921 14th Ave
Longview, WA 98632-2316

Call (360) 423-0203 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMC60720008 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1285174227

Jonathan Edgerton's National Provider Identifier is 1285174227, issued on Feb 23, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Feb 23, 2017.