Individual
MISS ANNA HELENA WAHLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
9575 ETHAN WADE WAY SE, SNOQUALMIE, WA 98065-9577
(425) 831-5425
Mailing address
10041 394TH PL SE, SNOQUALMIE, WA 98065-9213
(206) 407-9104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60491075
WA
Other
Enumeration date
04/18/2016
Last updated
02/27/2020
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