Ascencio, Wallace Roberto

Ascencio, Wallace Roberto is an sole proprietor health care provider with primary practice located at 7401 W Hood Pl Ste 117 , Kennewick WA 99336-3400. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ascencio, Wallace Roberto can be contacted via phone (509) 596-6230.

Contact Information

Primary practice address
7401 W Hood Pl Ste 117 Kennewick WA 99336-3400
Fax: (509) 221-1455
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61216281 Washington

Profile Details

NPI number 1659847721
LBN Legal business name Ascencio, Wallace Roberto
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2018
Last updated Dec 30th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659847721 NPPES
Washington Other LW61216281 DEPARTMENT OF HEALTH
Washington MEDICAID 2206694 DEPARTMENT OF HEALTH

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