IndividualActive
Ann Theriault, M.ED.
NPI 1063850352 · Mental Health Counselor · Othello, WA
Provider details
- NPI number
- 1063850352
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- M.ED.
- Sex
- Female
- Sole proprietor
- No
- License
- CG60374065 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
425 E Main St
Othello, WA 99344-1146
Phone: (509) 488-5611
Approximate (ZIP-level) locationGet directions
Mailing address
425 E Main St
Othello, WA 99344-1146
Registry dates
- Enumerated
- 2013-06-07
- Last updated
- 2013-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.