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400 S Jefferson St Ste 304 Spokane WA 99204-3144 | |
| (970) 343-4267 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 400 S Jefferson St Ste 304, Spokane, Washington |
| Authorized Official Name and Position | Alexandria Zachariades (OWNER/PROVIDER) |
| Authorized Official Contact | 9703434267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1314 S Grand Blvd Ste 2-213 Spokane WA 99202-1174 Ph: (970) 343-4267 | 400 S Jefferson St Ste 304 Spokane WA 99204-3144 Ph: (970) 343-4267 |
| NPI Number | 1144988866 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 02/14/2024 |
| Certification Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144988866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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