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Individual
ILANA WAITE
Active
Individual
ILANA WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHCA.MC.61556115
WA
103TC0700X
Clinical Psychologist
Primary
PSYC.PY.70069155
WA
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
08/12/2026
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