Individual
CHASE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
(360) 623-1072
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 237-5675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61529318
WA
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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