NPI 1114386711

Counseling Services of Walla Walla

Organisation Point of Service Walla Walla, WA

Practice location

Address: 127 E Rose St Suite M, Walla Walla, WA 99362-5009
Phone: (509) 876-0100
Fax: (509) 876-0101
Mailing address: PO Box 3324, Walla Walla, WA 99362-0367

Authorised official

Name: Marti K Bradley
Title: Owner
Phone: (509) 876-0100

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence LW00006668 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1114386711
Entity type: Organization
NPI issued: 11 Feb 2016
Record last updated: 11 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.