Individual provider · Type 1 NPI
Mariah Dee Shannon Goldston, CG
Counselor · Vancouver, WA
NPI number
1821681297
Active
Practice location
2504 E Fourth Plain Blvd
Vancouver, WA 98661-3965
Fax (360) 433-9917
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Behavior Technician | 106S00000X | None listed |
| Counselor Primary | 101Y00000X | None listed |
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 1821681297
Mariah Dee Shannon Goldston, CG's National Provider Identifier is 1821681297, issued on Feb 17, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 30, 2025.