Individual provider · Type 1 NPI

Linda Lou Dipietra

Mental Illness Community Based Residential Treatment Facility · Vancouver, WA

NPI number 1629435045 Active

Practice location

7415 NE 94th Ave
Vancouver, WA 98662-3859

Call (360) 254-2365 Map

Mailing address

13217 NE 59th St, 103
Vancouver, WA 98682-5312

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Illness Community Based Residential Treatment Facility Primary 320800000XCG60193148 (WA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1629435045

Linda Lou Dipietra's National Provider Identifier is 1629435045, issued on Jan 16, 2016. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 16, 2016.