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Organization

NEW PULSE COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANALEE WAGNER DSW, MSW, LICSW (CLINICAL SOCIAL WORKER)
(509) 240-9546
Entity
Organization

Contact information

Practice address
116 S HUSSEY ST, WALLA WALLA, WA 99362-8517
(509) 520-2701
Mailing address
5 W ALDER ST STE 315, WALLA WALLA, WA 99362-2863
(509) 520-2701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
07/29/2019
Last updated
01/16/2020
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