Provider Demographics
NPI:1962612713
Name:HAND, SALLY JO (LMHC)
Entity type:Individual
Prefix:MS
First Name:SALLY
Middle Name:JO
Last Name:HAND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:SALLY
Other - Middle Name:JO
Other - Last Name:HAND-GREENWALT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 2343
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0364
Mailing Address - Country:US
Mailing Address - Phone:509-526-3400
Mailing Address - Fax:509-526-5206
Practice Address - Street 1:13 E MAIN ST
Practice Address - Street 2:SUITE 214
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-1921
Practice Address - Country:US
Practice Address - Phone:509-526-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health