| |
1100 W 6th Ave Ste A Spokane WA 99204-3104 | |
(509) 740-3090 | |
(509) 278-4961 |
Full Name | |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1100 W 6th Ave Ste A, Spokane, Washington |
Authorized Official Name and Position | Daniel Alderman (OWNER) |
Authorized Official Contact | 5097305189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1011 E Sharpsburg Ave Apt 505 Spokane WA 99208-2610 Ph: (509) 730-5189 | 1100 W 6th Ave Ste A Spokane WA 99204-3104 Ph: (509) 740-3090 |
NPI Number | 1962928143 |
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Provider Enumeration Date | 08/18/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1962928143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | SC60509943 (Washington) | Primary |
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