Itsel Corona Madrigal
NPI #1063906204 in Walla Walla, Washington
Provider Information
- NPI Number
- 1063906204
- Entity Type
- Individual
- Name
- Itsel Corona Madrigal
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jun 20, 2018
- Last Updated
- Jun 20, 2018
Practice Location
- Address
- 1520 KELLY PL STE 234
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-8607
- Phone
- (509) 575-4084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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