Individual
DARRIAN DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
7456 LOUISIANA AVE, FAIRCHILD AFB, WA 99011-3012
(509) 534-7715
Mailing address
7456 LOUISIANA AVE, FAIRCHILD AFB, WA 99011-3012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61628987
WA
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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