Healthcare Provider Details

I. General information

NPI: 1265343594
Provider Name (Legal Business Name): ANTHONY JOSEPH LAMANNA JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E 2ND AVE STE 201
SPOKANE WA
99202-1455
US

IV. Provider business mailing address

27721 N LEWIS LN
DEER PARK WA
99006-9327
US

V. Phone/Fax

Practice location:
  • Phone: 509-220-2195
  • Fax:
Mailing address:
  • Phone: 509-220-2195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70143347
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: