Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | LH60835027 | WA |
N | 101YP1600X | Pastoral Counselor | LH60835027 | WA |
N | 101YP2500X | Professional Counselor | LH60835027 | WA |
N | 102L00000X | Psychologist | LH60835027 | WA |
N | 103T00000X | Psychologist | LH60835027 | WA |
N | 103K00000X | Behavior Analyst | LH60835027 | WA |
NPI | 1235803339 |
---|---|
Provider Name | Dr. Margarete Chase |
First Address | Walla Walla, WA 99362-1938 |
Second Address | Walla Walla, WA 99362-1938 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2021 |
Last Update Date | 03/08/2021 |