Individual
AMELIA ANN VISAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3311 W CLEARWATER AVE STE D272, KENNEWICK, WA 99336-2710
(509) 952-7013
Mailing address
6108 BULLDOG LN, PASCO, WA 99301-3000
(509) 952-7013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60511908
WA
101YM0800X
Mental Health Counselor
MC60298264
WA
Other
Enumeration date
11/15/2012
Last updated
12/28/2019
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