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Russel Ray Whitehall
Mental Health Counselor in Yakima, Washington
NPI 1346983533

Russel Ray Whitehall is a Mental Health Counselor based in Yakima, WA and is specialized in Mental Health. Russel Ray Whitehall practices in Yakima, WA. The NPI Number for Russel Ray Whitehall is 1346983533 and holds a License No. (Washington).

The current practice location address for Russel Ray Whitehall is 120 S 3Rd St, Yakima, WA and can be reached out via phone at 509-853-4173. You can also correspond with Russel Ray Whitehall through the mailing address at 120 S 3RD ST, YAKIMA, WA - 98901-2875 (mailing address contact number: 509-853-4173).

Location: 120 S 3Rd St, Yakima, WA, 98901-2875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346983533
Provider Name
Russel Ray Whitehall
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 S 3Rd St, Yakima, WA, 98901-2875
Phone Number
509-853-4173
Fax Number
Provider Enumeration Date
04/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91-0755984 05 WA
0755984 05 WA
institution
Provider Business Practice Location Address Details
Address
120 S 3Rd St
City
Yakima
State
Washington
Zip
98901-2875
Phone Number
509-853-4173
Fax Number
person
Provider Business Mailing Address Details
Address
120 S 3Rd St
City
Yakima
State
Washington
Zip
98901-2875
Phone Number
509-853-4173
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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