JOHANNE B WALL

RENTON, WA
NPI1902849284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH0004974)
Enumeration Date2006-06-14
Last Update Date2007-07-08
Business Address
-- JOHANNE B WALL
4445 TALBOT RD S
RENTON, WA 98055-6219
Phone number: 425-656-4055
Mailing Address
-- JOHANNE B WALL
4445 TALBOT RD S
RENTON, WA 98055-6219
Phone number: 425-656-4055