Organization
CANDACE WALTERS AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L YOUNG (OFFICE MANAGER/BILLING)
(360) 210-7301
Entity
Organization
Contact information
Practice address
105 FIR ST., #327 SAC ANNEX BLDG., LA GRANDE, OR 97850-2663
(541) 246-3638
(360) 844-5184
Mailing address
60117 HWY 203, UNION, OR 97883-9521
(360) 210-7301
(360) 844-5184
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500708689
—
OR
Enumeration date
01/22/2024
Last updated
01/22/2024
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