Galvan, Eli Tito

Galvan, Eli Tito is an individual health care provider with primary practice located at 2005 Se 192Nd Ave Ste 200 , Camas WA 98607-7475. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Galvan, Eli Tito can be contacted via phone (360) 217-9125.

Contact Information

Primary practice address
2005 Se 192Nd Ave Ste 200 Camas WA 98607-7475
Phone: (360) 217-9125
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X LH60918078 Washington

Profile Details

NPI number 1730531765
LBN Legal business name Galvan, Eli Tito
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2016
Last updated Apr 4th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730531765 NPPES
Washington Other LH60918078 LICENSE NUMBER

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