Provider Information for 1194489831
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ERIC LEVINE LMHC
Sex: Male
NPI: 1194489831
Last Updated: 2021-10-28
Certification Date: 2021-10-28
Certification Date: 2021-10-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1194489831 | ||||||||
| Enumeration Date | 2021-10-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 129 4TH ST APT A1 LANGLEY, WA 98260-8403 United States Phone: 360-320-3207 | Fax: | ||||||||
| Primary Practice Address | 129 4TH ST APT A1 LANGLEY, WA 98260-8403 United States Phone: 360-320-3207 | Fax: | ||||||||
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