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1325 W 1st Ave Ste 202 Spokane WA 99201-4148 | |
| (509) 844-2982 | |
| (833) 520-4835 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1325 W 1st Ave Ste 202, Spokane, Washington |
| Authorized Official Name and Position | Tiffany Cannon-keiser (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5098442982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1325 W 1st Ave Ste 202 Spokane WA 99201-4148 Ph: (509) 844-2982 | 1325 W 1st Ave Ste 202 Spokane WA 99201-4148 Ph: (509) 844-2982 |
| NPI Number | 1194340679 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 10/05/2020 |
| Certification Date | 10/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194340679 | NPI | - | NPPES |
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