Waltz, Michele M.

Waltz, Michele M. is an individual health care provider with primary practice located at 600 Broadway St , Longview WA 98632-3256. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Waltz, Michele M. can be contacted via phone (360) 414-2236.

Contact Information

Primary practice address
600 Broadway St Longview WA 98632-3256
Fax: (360) 414-2788
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LH00005735 Washington

Profile Details

NPI number 1336107044
LBN Legal business name Waltz, Michele M.
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336107044 NPPES
Washington Other 8925325 CRIME VICTIMS

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