| Julie B. Lester Licsw Llc | |
|
30 W Main St Ste 305 Walla Walla WA 99362-2872 | |
| (509) 240-0135 | |
| Not Available |
| Full Name | Julie B. Lester Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30 W Main St Ste 305, Walla Walla, Washington |
| Authorized Official Name and Position | Julie Barbara Lester (OWNER/SUPERVISOR) |
| Authorized Official Contact | 5092400135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie B. Lester Licsw Llc 30 W Main St Ste 305 Walla Walla WA 99362-2872 Ph: (509) 240-0135 | Julie B. Lester Licsw Llc 30 W Main St Ste 305 Walla Walla WA 99362-2872 Ph: (509) 240-0135 |
| NPI Number | 1942768825 |
|---|---|
| Provider Enumeration Date | 03/08/2019 |
| Last Update Date | 03/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942768825 | NPI | - | NPPES |
| 1124459748 | Medicaid | WA | |
| 1093209413 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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