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130 S Arthur St Spokane WA 99202-2252 | |
| (509) 362-4439 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 130 S Arthur St, Spokane, Washington |
| Authorized Official Name and Position | Rickey L Jones (OWNER) |
| Authorized Official Contact | 5093624439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5523 E Commerce Ave Spokane WA 99212-1306 Ph: (509) 362-4439 | 130 S Arthur St Spokane WA 99202-2252 Ph: (509) 362-4439 |
| NPI Number | 1316461049 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 03/17/2020 |
| Certification Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316461049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 604006701 (Washington) | Primary |
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