Individual provider · Type 1 NPI

Lane Bodenhamer

Counselor · Longview, WA

NPI number 1376357079 Active

Practice location

720 14th Ave
Longview, WA 98632-2315

Fax (360) 577-0187

Mailing address

PO Box 1847
Longview, WA 98632-8140

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61653671 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1376357079

Lane Bodenhamer's National Provider Identifier is 1376357079, issued on Feb 3, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Longview, WA. The record was last updated on Feb 3, 2025.