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1275016354
RICHARD KOETHKE
LONGVIEW, WA
NPI
1275016354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH61255646)
Enumeration Date
2018-09-13
Last Update Date
2022-05-05
Business Address
RICHARD KOETHKE MS, LMHC, MHP
1116 14TH AVE
LONGVIEW, WA 98632-3017
Phone number: 360-999-7014
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Mailing Address
RICHARD KOETHKE MS, LMHC, MHP
2749 FIR ST
LONGVIEW, WA 98632-2022
Phone number: 360-218-1130
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