Individual
CHARLES WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(509) 315-9791
Mailing address
918 E OLYMPIC AVE, SPOKANE, WA 99207-3346
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60837351
WA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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