Taya M Wallenberg
NPI #1134854417 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1134854417
- Entity Type
- Individual
- Name
- Taya M Wallenberg
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jul 20, 2022
- Last Updated
- Jul 20, 2022
Practice Location
- Address
- 1601 E COLLEGE WAY
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-5612
- Phone
- (206) 461-4880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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