Individual provider · Type 1 NPI

Maile Victoria Keanu, CMHC

Student in an Organized Health Care Education/Training Program · Walla Walla, WA

NPI number 1134080351 Active

Practice location

103 E Main St
Walla Walla, WA 99362-1900

Call (509) 301-3270 Map

Mailing address

8312 Washington Blvd SW
Lakewood, WA 98498-2625

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4 other providers at this address

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About NPI 1134080351

Maile Victoria Keanu, CMHC's National Provider Identifier is 1134080351, issued on Nov 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Walla Walla, WA. The record was last updated on Nov 21, 2025.