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Mental Health

Cowlitz Indian Tribe

Mental Health

Cowlitz Tribal Mental Health embraces a holistic approach to wellness inherent in the Medicine Wheel teachings. We believe health and wellbeing come with the balance of physical, emotional, mental, and spiritual needs. When we become unbalanced, life can feel unmanageable and suffering can occur in the form of sadness, anger, loneliness, anxiety, substance use, as well as relationship and family issues. We are here to help individuals regain balance.


  • Individual Counseling
  • Crisis Counseling
  • Marriage Counseling and Couples Therapy
  • Grief Counseling
  • Referrals
  • Psychological Evaluations
  • Medication Management
  • Youth Services
  • Positive Indian Parenting Classes

Who Qualifies for Services?

  • Any enrolled American Indian / Alaskan Native (AI/AN) of a Federally Recognized Tribe.
  • Any direct lineal descendant of a federally recognized AI/AN (Parent MUST be enrolled).
  • Any state-recognized Native American or First Nations Tribal Member with billable insurance.
  • Dependents/Spouse of an Enrolled Cowlitz Tribal Member with a billable insurance.
  • Tribal employees, their dependents, and/or their spouse with billable insurance.

Note other eligibility factors: Those with the resources to attend appointments that live out of our service area may still qualify for services. Anyone who is considered an IHS beneficiary can receive services regardless of coverage or ability to pay for services. Some of these categories are eligible depending on the type of insurance. It is recommended that if individuals have questions about eligibility, they contact our office.

Frequently asked questions

About Program?

  • Identification: Driver’s License, State ID Card, or Social Security Card
  • Proof of residency:  Phone bill, electric bill, rental agreement, student enrollment, etc.
  • Tribal Identification
    • If registering as a descendant you must provide a Birth Certificate and Parent's Tribal Identification
  • Primary Health Insurance Card: Medicare, Medicaid, Regence, Premera, First Choice, etc
    • If you are without health insurance you must provide proof of application to the State for alternate resources or a denial letter from the State.
  • Completed New Patient Packet (see Forms)


Questions? Contact Us.

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Vancouver | Mental Health

Office Hours
M - F | 8 am - 5 pm 

7700 NE 26th Ave. Vancouver, WA 98665
(360) 353-8251

Longview | Mental Health

Office Hours
M - F | 8 am - 5 pm 

900 Fir Street, Longview, WA 98632
(360) 353-9991

Tukwila | Mental Health

Office Hours
M - F | 8:30 am - 5:30 pm 

15455 65th Ave S, Tukwila, WA 98188
(206) 466-5112


The legacy of an ancient people in southwest Washington is rich with descendants who manage a growing portfolio of health, education, scientific research, housing, transportation, development, elder care, conservation and legal issues. The Cowlitz Tribe is a growing force in community building in what are now Clark, Cowlitz, Lewis and parts of Pierce, Skamania and Wahkiakum Counties, a vast territory occupied by numerous Cowlitz villages prior to non-Cowlitz exploration and seizure. Today, an elected Tribal Council is composed of professionals adept at managing multiple programs and projects.