| Mirror Pond Therapy Pllc | |
|
9017 E Euclid Ave Ste B Spokane Valley WA 99212-2049 | |
| (509) 903-5430 | |
| Not Available |
| Full Name | Mirror Pond Therapy Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9017 E Euclid Ave Ste B, Spokane Valley, Washington |
| Authorized Official Name and Position | Martina Coordes (OWNER) |
| Authorized Official Contact | 5099035430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mirror Pond Therapy Pllc Po Box 398 Elk WA 99009-0398 Ph: (509) 999-9321 | Mirror Pond Therapy Pllc 9017 E Euclid Ave Ste B Spokane Valley WA 99212-2049 Ph: (509) 903-5430 |
| NPI Number | 1720701063 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720701063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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