Healthcare Provider Details

I. General information

NPI: 1033433990
Provider Name (Legal Business Name): ERIN LAVERNE KENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 S HOWARD ST 321
SPOKANE WA
99201-3821
US

IV. Provider business mailing address

7 S HOWARD ST 321
SPOKANE WA
99201-3821
US

V. Phone/Fax

Practice location:
  • Phone: 509-838-4128
  • Fax: 509-838-4816
Mailing address:
  • Phone: 509-838-4128
  • Fax: 509-838-4816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRC00055016
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: