Individual
MS. MICAH ARIA VACATIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1920 HIDEAWAY PL, WENATCHEE, WA 98801-1073
(425) 368-9397
(425) 217-0676
Mailing address
1920 HIDEAWAY PL, WENATCHEE, WA 98801-1073
(425) 368-9397
(425) 217-0676
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60806628
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2092681
—
WA
Enumeration date
07/15/2014
Last updated
10/20/2025
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