Individual
YAJAIRA WALTERMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1313 N 13TH AVE, WALLA WALLA, WA 99362-8817
(509) 525-3610
Mailing address
1313 N 13TH AVE, WALLA WALLA, WA 99362-8817
(509) 525-3610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61145287
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
01/27/2022
Last updated
01/27/2022
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