Straube, Vincent John

Straube, Vincent John is an individual health care provider with primary practice located at 748 14Th Avenue , Longview WA 98632. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Straube, Vincent John can be contacted via phone (360) 200-5419.

Contact Information

Primary practice address
748 14Th Avenue Longview WA 98632
Phone: (360) 200-5419
Fax: (360) 200-6736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 60716189 Washington
Other Service Providers / Peer Specialist 175T00000X CG60716189 Washington

Profile Details

NPI number 1891074076
LBN Legal business name Straube, Vincent John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated Oct 29th, 2020 - about 5 years 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 1891074076 NPPES
Washington MEDICAID 2136686

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