| Doctor Name: | MICHELE M. WALTZ |
| NPI Number: | 1336107044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | LH00005735 |
| Business Practice Address: | 600 Broadway St Longview, WA - 986323256 |
| Business Phone Number: | 3604142236 |
| Business Fax Number: | 3604142788 |
| Mailing Address: | Po Box 3002, LONGVIEW |
| State: | WA |
| Postal Code: | 986320302 |
| Phone Number: | 3604142000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2006 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LH00005735 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |