Individual provider · Type 1 NPI

Teegan Nicole Waltz

Mental Health Counselor · Centralia, WA

NPI number 1891411161 Active

Practice location

3510 Steelhammer Dr
Centralia, WA 98531-4551

Call (360) 623-8020 Map

Mailing address

1401 Johnson Rd Apt 53
Centralia, WA 98531-4574

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891411161

Teegan Nicole Waltz's National Provider Identifier is 1891411161, issued on Oct 18, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centralia, WA. The record was last updated on Oct 20, 2022.