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400 S Jefferson St Ste 114 Spokane WA 99204-3100 | |
| (509) 850-0662 | |
| (509) 474-0927 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 400 S Jefferson St Ste 114, Spokane, Washington |
| Authorized Official Name and Position | Shawna Hedquist (OWNER) |
| Authorized Official Contact | 5098500662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
400 S Jefferson St Ste 114 Spokane WA 99204-3100 Ph: (509) 850-0662 | 400 S Jefferson St Ste 114 Spokane WA 99204-3100 Ph: (509) 850-0662 |
| NPI Number | 1740873462 |
|---|---|
| Provider Enumeration Date | 02/12/2021 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740873462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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