| Doctor Name: | ALBA GRAJALES |
| NPI Number: | 1770907099 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LH |
| License Number: | LH60559814 |
| Business Practice Address: | 221 Ne A St College Place, WA - 993241113 |
| Business Phone Number: | 5093016964 |
| Business Fax Number: | 5095295373 |
| Mailing Address: | Po Box 375, WALLA WALLA |
| State: | WA |
| Postal Code: | 993620040 |
| Phone Number: | 5093016964 |
| Fax Number: | 5095295373 |
| NPI Enumeration Date: | 02/06/2014 |
| NPI Last Update Date: | 11/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60559814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |