Individual provider · Type 1 NPI

Caleb Lee Thetford, LMHC, MHP, CMHS, MA

Mental Health Counselor · Montesano, WA

NPI number 1508392663 Active

Practice location

61 Glenn Rd N
Montesano, WA 98563-9767

Other practice locations

  • 221 W Wynooche Ave Unit B, Montesano, WA 98563-4401 · (360) 280-4969

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMC 60637837 (WA)
Mental Health Counselor Primary 101YM0800XLH60855835 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1508392663

Caleb Lee Thetford, LMHC, MHP, CMHS, MA's National Provider Identifier is 1508392663, issued on May 11, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Montesano, WA. The record was last updated on Sep 25, 2020.