Individual
MRS. AMY EVENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1520 KELLEY PL FL 2, WALLA WALLA, WA 99362-8654
(509) 525-2799
Mailing address
194 GARDEN DR, WALLA WALLA, WA 99362-2625
(509) 525-2799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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