| Jennifer Brooke Sjostrom | |
|
4407 N Division St Ste 603 Spokane WA 99207-1660 | |
| (208) 467-4931 | |
| Not Available |
| Full Name | Jennifer Brooke Sjostrom |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4407 N Division St Ste 603, Spokane, Washington |
| Authorized Official Name and Position | Jennifer Brooke Sjostrom (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2086911174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Brooke Sjostrom Po Box 129 Liberty Lake WA 99019-0129 Ph: (208) 691-1174 | Jennifer Brooke Sjostrom 4407 N Division St Ste 603 Spokane WA 99207-1660 Ph: (208) 467-4931 |
| NPI Number | 1730534272 |
|---|---|
| Provider Enumeration Date | 05/03/2016 |
| Last Update Date | 05/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730534272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00007832 (Washington) | Primary |
| 101YM0800X | Counselor - Mental Health | LCPC-4347 (Idaho) | Secondary |
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