| Lutheran Community Services North West | |
|
210 W. Sprague Spokane WA 99201 | |
| (509) 747-8224 | |
| (509) 747-0609 |
| Full Name | Lutheran Community Services North West |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 210 W. Sprague, Spokane, Washington |
| Authorized Official Name and Position | Paula Johnson (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 5093435069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Community Services North West 210 W. Sprague Spokane WA 99201 Ph: (509) 747-8224 | Lutheran Community Services North West 210 W. Sprague Spokane WA 99201 Ph: (509) 747-8224 |
| NPI Number | 1427548114 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427548114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CG60683072 (Washington) | Primary |
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