Individual
ARISSA ROSE WALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10422
NE
103T00000X
Psychologist
Primary
PY60680084
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066306
—
WA
Enumeration date
01/23/2015
Last updated
05/10/2021
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