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Contact Information

AUDREY MARIE, CG, ATR-P
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA98661-3717
 Phone: 360-397-8246
 Fax: 360-397-8448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for AUDREY MARIE · (Female)

NPI Number 1295475499
Status Active
Credentials CG, ATR-P
Entity Individual
Enumeration date 03/29/2022
Last updated 03/21/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 18069
  • WA License # CG61283254
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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