Diana Wirtala
Counselor, Mental Health in Renton, WA. Individual provider (NPI-1).
NPI number1669201331
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1669201331
- Entity type
- Individual (NPI-1)
- Name
- Diana Wirtala
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2024
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
723 Sw 10th StRenton, WA 98057-5223
Phone 206-461-4880
Mailing address
723 Sw 10th StRenton, WA 98057-5223
Phone 206-461-4880
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