Provider Demographics
NPI:1740847094
Name:VALCKENIER DE GREEVE, ROSAMOND CLAIRE (RN, MBA, PHD, MHP, S)
Entity type:Individual
Prefix:DR
First Name:ROSAMOND
Middle Name:CLAIRE
Last Name:VALCKENIER DE GREEVE
Suffix:
Gender:F
Credentials:RN, MBA, PHD, MHP, S
Other - Prefix:
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Mailing Address - Street 1:COLUMBIA WELLNESS
Mailing Address - Street 2:PO BOX 1847
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632
Mailing Address - Country:US
Mailing Address - Phone:360-353-9369
Mailing Address - Fax:360-577-0187
Practice Address - Street 1:720 14TH AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632
Practice Address - Country:US
Practice Address - Phone:360-423-0203
Practice Address - Fax:360-423-5086
Is Sole Proprietor?:No
Enumeration Date:2019-05-22
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WACO61362103101YA0400X
WARN61283114163WP0808X
WAAP61283128363LP0808X
WACG61450997101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health