RICHARD EMERY CLEVENGER

CENTRALIA, WA
NPI1467836304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  CG 60577619)
Enumeration Date2015-07-09
Last Update Date2015-07-09
Business Address
-- RICHARD EMERY CLEVENGER BA,AAC
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044
Mailing Address
-- RICHARD EMERY CLEVENGER BA,AAC
2428 W REYNOLDS AVE
CENTRALIA, WA 98531-4554
Phone number: 360-330-9044