Individual provider · Type 1 NPI

John Bruce Liles

Mental Health Counselor · Vancouver, WA

NPI number 1912485012 Active

Practice location

1601 E Fourth Plain Blvd Bldg 17
Vancouver, WA 98661-3717

Call (360) 397-8484 Map

Fax (360) 397-8494

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1912485012

John Bruce Liles's National Provider Identifier is 1912485012, issued on Jul 31, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Jul 31, 2018.