Individual
CHEVELLE A LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10505 W CLEARWATER AVE, KENNEWICK, WA 99336-8613
(509) 378-5553
Mailing address
709 BENHAM ST, RICHLAND, WA 99352-4554
(509) 537-8188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG.70143100
WA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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