Healthcare Provider Details

I. General information

NPI: 1295655868
Provider Name (Legal Business Name): DINA GEBRETATIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8817 E MISSION AVE STE 106
SPOKANE VALLEY WA
99212-5034
US

IV. Provider business mailing address

8817 E MISSION AVE STE 106
SPOKANE VALLEY WA
99212-5034
US

V. Phone/Fax

Practice location:
  • Phone: 509-844-5947
  • Fax: 509-954-3343
Mailing address:
  • Phone: 509-844-5947
  • Fax: 509-954-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70119248
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: