| Thin Line Therapy 206 Llc | |
|
907 Shasta Dr Walla Walla WA 99362-1537 | |
| (509) 713-2150 | |
| Not Available |
| Full Name | Thin Line Therapy 206 Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 907 Shasta Dr, Walla Walla, Washington |
| Authorized Official Name and Position | Amie M Peterson (OWNER) |
| Authorized Official Contact | 5097132150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thin Line Therapy 206 Llc 907 Shasta Dr Walla Walla WA 99362-1537 Ph: (509) 713-2150 | Thin Line Therapy 206 Llc 907 Shasta Dr Walla Walla WA 99362-1537 Ph: (509) 713-2150 |
| NPI Number | 1346956059 |
|---|---|
| Provider Enumeration Date | 01/26/2023 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346956059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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