Individual
NATASHA ANNE RUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
56 N COLLEGE AVE UNIT 2, COLLEGE PLACE, WA 99324-4069
(509) 730-9894
(844) 512-2575
Mailing address
PO BOX 3192, WALLA WALLA, WA 99362-0366
(541) 708-1979
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L5028
OR
1041C0700X
Clinical Social Worker
Primary
LW 60118602
WA
Other
Enumeration date
10/24/2006
Last updated
07/05/2023
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