Healthcare Provider Details

I. General information

NPI: 1265156756
Provider Name (Legal Business Name): ALEXANDRIA CHARLENE WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST
SPOKANE WA
99201-0508
US

IV. Provider business mailing address

100 N HOWARD ST STE 4228
SPOKANE WA
99201-0508
US

V. Phone/Fax

Practice location:
  • Phone: 509-478-2344
  • Fax:
Mailing address:
  • Phone: 509-478-2344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17430
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: