Healthcare Provider Details

I. General information

NPI: 1114237534
Provider Name (Legal Business Name): PATRICIA MELANIE HOSNER LICSW, CMHS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2010
Last Update Date: 09/23/2023
Certification Date: 09/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N ARGONNE RD STE 215
SPOKANE VALLEY WA
99212-2699
US

IV. Provider business mailing address

1101 N ARGONNE RD STE 215
SPOKANE VALLEY WA
99212-2699
US

V. Phone/Fax

Practice location:
  • Phone: 509-904-1222
  • Fax: 509-271-0648
Mailing address:
  • Phone: 509-904-1222
  • Fax: 509-271-0648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLW60504892
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLW60504892
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: