Healthcare Provider Details

I. General information

NPI: 1720354764
Provider Name (Legal Business Name): SONIA L COMBS MS, LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2012
Last Update Date: 04/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W BOONE AVE SUITE 656
SPOKANE WA
99201-2354
US

IV. Provider business mailing address

316 W BOONE AVE SUITE 656
SPOKANE WA
99201-2354
US

V. Phone/Fax

Practice location:
  • Phone: 509-242-7202
  • Fax: 509-593-4676
Mailing address:
  • Phone: 509-242-7202
  • Fax: 509-593-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101YM800X
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: