Most Relevant Information
Provider Data
| NPI Number: | 1003001744 |
| Provider Name: | RONNY ALAN WALDEN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2007 |
| Last Updated: | 09/26/2023 |
Provider Practice Location
2416 SHELLEY LN
CLARKSTON
WA
994031444
Practice Location Phone/Fax
| Phone: | 2065144904 |
| Fax: |
Provider Mailing Location
2416 SHELLEY LN
CLARKSTON
WA
994031444
Provider Mailing Phone/Fax
| Phone: | 2065144904 |
| Fax: |