Individual
ROCHELLE NICOLE KANALLAKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSST
Contact information
Practice address
1400 COMMERCE AVE, LONGVIEW, WA 98632-3756
(360) 998-2047
(844) 612-6673
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(844) 612-6673
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
CG61557747
WA
175T00000X
Peer Specialist
Primary
PE70097569
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2327307
—
WA
Enumeration date
05/06/2025
Last updated
04/27/2026
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