Provider Demographics
NPI:1356682827
Name:HOPETREE COUNSELING CENTER
Entity Type:Organization
Organization Name:HOPETREE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMHC
Authorized Official - Phone:360-901-5977
Mailing Address - Street 1:404 E 15TH ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3451
Mailing Address - Country:US
Mailing Address - Phone:360-901-5977
Mailing Address - Fax:
Practice Address - Street 1:404 E 15TH ST
Practice Address - Street 2:SUITE 11
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3451
Practice Address - Country:US
Practice Address - Phone:360-901-5977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2013-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60152268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1164744462OtherNPI