Individual
MR. MICHAEL ROJAS BALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
WA STATE SUDP
Contact information
Practice address
327 OKANOGAN AVE, WENATCHEE, WA 98801
(509) 662-9673
(509) 662-9441
Mailing address
PO BOX 950, WENATCHEE, WA 98807
(509) 662-9673
(509) 662-9441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1891049458
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60153767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 60153767
101YA0400X - COUNSELOR - ADDICTION (SUBSTANCE USE DISORDER)
WA
Enumeration date
11/05/2012
Last updated
10/18/2022
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