IndividualActive
Juline Dual, CG60709757
NPI 1740723220 · Mental Illness Community Based Residential Treatment Facility · Vancouver, WA
Provider details
- NPI number
- 1740723220
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Credential
- CG60709757
- Sex
- Female
- Sole proprietor
- Yes
- License
- CG60709757 (WA)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense CG60709757 (WA)
Residential Treatment Facilities
Practice location
7415 Ne 94th Ave
Vancouver, WA 98662-3859
Phone: (360) 253-6019
Approximate (ZIP-level) locationGet directions
Mailing address
3812 E 14th St
Vancouver, WA 98661-5427
Registry dates
- Enumerated
- 2016-12-01
- Last updated
- 2016-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.