Integrative Therapies Walla Walla, LLC
NPI #1609331206 in Walla Walla, Washington
Provider Information
- NPI Number
- 1609331206
- Entity Type
- Organization
- Organization Name
- Integrative Therapies Walla Walla, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 7, 2019
- Last Updated
- Jul 26, 2019
Practice Location
- Address
- 19 E BIRCH ST STE 104
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-3205
- Phone
- (773) 349-6778
Authorized Official
- Name
- ELISE OCONNELL, LICSW
- Title
- OWNER
- Phone
- (773) 349-6778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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