Provider Demographics
NPI:1265984769
Name:NGARE, EVA MARIANN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:MARIANN
Last Name:NGARE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EVA
Other - Middle Name:MARIANN
Other - Last Name:DAHLBACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9204 NE 45TH PL
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-5360
Mailing Address - Country:US
Mailing Address - Phone:971-319-5116
Mailing Address - Fax:
Practice Address - Street 1:1498 SE TECH CENTER PL STE 300
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5509
Practice Address - Country:US
Practice Address - Phone:360-619-2226
Practice Address - Fax:360-326-9691
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW610182421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical