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Contact Information

MARK A VELLUCCI, MA
11818 SE MILL PLAIN BLVD
SUITE 311C
VANCOUVER, WA99684
 Phone: 360-571-3981
 Fax: 503-578-2454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MARK A VELLUCCI · (Male)

NPI Number 1164525580
Status Active
Credentials MA
Entity Individual
Enumeration date 09/07/2006
Last updated 06/26/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # LH00004640
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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