| Lifeline Counseling And Community Services | |
|
1212 N Washington St Ste 104 Spokane WA 99201-2401 | |
| (509) 869-8965 | |
| (509) 466-9061 |
| Full Name | Lifeline Counseling And Community Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1212 N Washington St Ste 104, Spokane, Washington |
| Authorized Official Name and Position | David G Chittim (OWNER/PROVIDER) |
| Authorized Official Contact | 5098698965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Counseling And Community Services 1212 N Washington St Ste 104 Spokane WA 99201-2401 Ph: (509) 869-8965 | Lifeline Counseling And Community Services 1212 N Washington St Ste 104 Spokane WA 99201-2401 Ph: (509) 869-8965 |
| NPI Number | 1598322513 |
|---|---|
| Provider Enumeration Date | 05/24/2019 |
| Last Update Date | 05/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598322513 | NPI | - | NPPES |
| LW60153514 | Other | WA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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