| Derive Family Therapy | |
|
12128 N Division St Unit 447 Spokane WA 99218-1905 | |
| (509) 991-0108 | |
| Not Available |
| Full Name | Derive Family Therapy |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12128 N Division St Unit 447, Spokane, Washington |
| Authorized Official Name and Position | Tiffany Chyrene Cutting (OWNER/THERAPIST) |
| Authorized Official Contact | 5099910108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derive Family Therapy 12128 N Division St Unit 447 Spokane WA 99218-1905 Ph: (509) 991-0108 | Derive Family Therapy 12128 N Division St Unit 447 Spokane WA 99218-1905 Ph: (509) 991-0108 |
| NPI Number | 1336668656 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 01/29/2020 |
| Certification Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336668656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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