Healthcare Provider Details

I. General information

NPI: 1083509277
Provider Name (Legal Business Name): RESOLUTION COUNSELING SPOKANE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 W 7TH AVE STE A-2
SPOKANE WA
99204-2836
US

IV. Provider business mailing address

2715 E 36TH AVE APT 5204
SPOKANE WA
99223-4577
US

V. Phone/Fax

Practice location:
  • Phone: 509-822-8662
  • Fax:
Mailing address:
  • Phone: 509-822-8662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JEFFREY EUGENE WALLACE
Title or Position: OWNER
Credential: LICSW
Phone: 509-822-8662