Individual
SAMUEL MALESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 KELLY PL, WALLA WALLA, WA 99362-8607
(509) 524-2920
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 524-2920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61461083
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
11/14/2024
Last updated
01/13/2026
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