Provider Demographics
NPI:1548021074
Name:VANCOUVER PSYCHOLOGICAL AND COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:VANCOUVER PSYCHOLOGICAL AND COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST - OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:360-904-9398
Mailing Address - Street 1:6400 NE HIGHWAY 99 STE G185
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8799
Mailing Address - Country:US
Mailing Address - Phone:360-904-9398
Mailing Address - Fax:360-368-8747
Practice Address - Street 1:612 E 17TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3428
Practice Address - Country:US
Practice Address - Phone:360-904-9398
Practice Address - Fax:360-368-8747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty