LANE BODENHAMER

Counselor

NPI: 1376357079Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

CG61653671(WA)

Contact & Hours

Address: 720 14TH AVE
LONGVIEW, WA 98632
Phone: (360) 423-0203

Quick Facts

NPI: 1376357079
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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