Organization
INTEGRATIVE THERAPIES WALLA WALLA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE OCONNELL LICSW (OWNER)
(773) 349-6778
Entity
Organization
Contact information
Practice address
19 E BIRCH ST STE 104, WALLA WALLA, WA 99362-3205
(773) 349-6778
Mailing address
19 E BIRCH ST STE 104, WALLA WALLA, WA 99362-3205
(773) 349-6778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
07/26/2019
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