Provider Demographics
NPI:1346490729
Name:FURTADO, JOSHUA ALLEN (LPC, LMHC, CADC III)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ALLEN
Last Name:FURTADO
Suffix:
Gender:M
Credentials:LPC, LMHC, CADC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 871602
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687-1602
Mailing Address - Country:US
Mailing Address - Phone:971-266-1581
Mailing Address - Fax:
Practice Address - Street 1:15704 SE 3RD ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-8808
Practice Address - Country:US
Practice Address - Phone:971-266-1581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YP2500X, 171M00000X, 101YM0800X
OR13-06-87U3101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR13-06-87U3OtherCADC
WALH.61354053OtherLMHC
ORC4165OtherLPC