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910 N Washington St Suite 210 Spokane WA 99201-2202 | |
| (509) 327-9831 | |
| (509) 327-9857 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 910 N Washington St, Spokane, Washington |
| Authorized Official Name and Position | Daniel J. Colyar (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5093279831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
910 N Washington St Suite 210 Spokane WA 99201-2202 Ph: (509) 327-9831 | 910 N Washington St Suite 210 Spokane WA 99201-2202 Ph: (509) 327-9831 |
| NPI Number | 1962493007 |
|---|---|
| Provider Enumeration Date | 10/28/2005 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962493007 | NPI | - | NPPES |
| 32025500 | Other | WA | CHEMICAL DEPENDENCY TREAT |
| J0HY6W00 | Other | WA | ONE HLTH. PORT ID. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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