Individual
MAYRA Y CORREA BARADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PYSD
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 452-5224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MC61288087
WA
103T00000X
Psychologist
Primary
PY61418763
WA
103TC0700X
Clinical Psychologist
PY61418763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2354871
—
WA
Enumeration date
05/10/2022
Last updated
11/17/2025
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