Individual
ANNALISA HARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
2302 BARGE ST, YAKIMA, WA 98902-2853
(435) 640-8062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61370036
WA
101YP2500X
Professional Counselor
CC03040
MN
Other
Enumeration date
11/03/2021
Last updated
11/27/2023
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