Individual
BRANDI ANN WALLENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7282 STINSON AVE STE B, GIG HARBOR, WA 98335-4930
(253) 858-5846
Mailing address
PO BOX 557, SEABECK, WA 98380-0557
(425) 890-3061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61145146
WA
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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