Individual provider · Type 1 NPI

Michael Spain

Mental Health Counselor · Centralia, WA

NPI number 1972063063 Active

Practice location

2428 W Reynolds Ave
Centralia, WA 98531-4554

Call (360) 330-9044 Map

Other practice locations

  • 720 14th Ave, Longview, WA 98632-2315 · (360) 423-0203

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X60942160 (WA)
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XCU61643874 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1972063063

Michael Spain's National Provider Identifier is 1972063063, issued on Mar 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, WA. The record was last updated on Feb 11, 2025.