Individual
ANNIE G WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S. 2ND AVE., YAKIMA, WA 98902
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG601232921
WA
101YM0800X
Mental Health Counselor
RC00049156
WA
Other
Enumeration date
03/19/2007
Last updated
03/17/2011
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