IndividualActive
Linda Dipietra
NPI 1629435045 · Mental Illness Community Based Residential Treatment Facility · Vancouver, WA
Provider details
- NPI number
- 1629435045
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense CG60193148 (WA)
Residential Treatment Facilities
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
7415 Ne 94th Ave
Vancouver, WA 98662-3859
Phone: (360) 254-2365
Approximate (ZIP-level) locationGet directions
Mailing address
13217 Ne 59th St
Vancouver, WA 98682-5312
Registry dates
- Enumerated
- 2016-01-16
- Last updated
- 2016-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.