Most Relevant Information
Provider Data
| NPI Number: | 1003383670 |
| Provider Name: | DON CONRAD G UY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 60907372 |
Most Important Dates
| Enumeration Date: | 10/31/2018 |
| Last Updated: | 10/31/2018 |
Provider Practice Location
1610 C ST
VANCOUVER
WA
986633440
Practice Location Phone/Fax
| Phone: | 3607872125 |
| Fax: |
Provider Mailing Location
29404 NE TIMMEN RD
RIDGEFIELD
WA
986429265
Provider Mailing Phone/Fax
| Phone: | 8139912873 |
| Fax: |