Provider Demographics
NPI:1942481668
Name:CONGER, DOUGLAS W (LMHC)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:W
Last Name:CONGER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 172ND ST NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6384
Mailing Address - Country:US
Mailing Address - Phone:360-653-3322
Mailing Address - Fax:360-653-3277
Practice Address - Street 1:4126 172ND ST NE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-6384
Practice Address - Country:US
Practice Address - Phone:360-653-3322
Practice Address - Fax:360-653-3277
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health