Individual
JUAN VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AARC, SUDP
Contact information
Practice address
410 S WILBUR AVE, WALLA WALLA, WA 99362-3532
(509) 529-6036
(509) 529-6038
Mailing address
410 S WILBUR AVE, WALLA WALLA, WA 99362-3532
(509) 529-6036
(509) 529-6038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60676586
WA
Other
Enumeration date
07/30/2018
Last updated
01/26/2022
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