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Individual
MARK A. WALRATH
Active
Individual
MARK A. WALRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00003467
WA
101YM0800X
Mental Health Counselor
Primary
LH60221523
WA
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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