OrganizationActive
Counseling Services of Walla Walla
NPI 1114386711 · Point of Service · Walla Walla, WA
Provider details
- NPI number
- 1114386711
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Marti Bradley, Owner(509) 876-0100
- License
- LW00006668 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
127 E Rose St
Suite M
Walla Walla, WA 99362-5009
Phone: (509) 876-0100
Fax: (509) 876-0101
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3324
Walla Walla, WA 99362-0367
Registry dates
- Enumerated
- 2016-02-11
- Last updated
- 2016-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.