Healthcare Provider Details

I. General information

NPI: 1073076469
Provider Name (Legal Business Name): SAGEBRUSH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2019
Last Update Date: 04/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 W BOONE AVE
SPOKANE WA
99201-2354
US

IV. Provider business mailing address

1702 W MAIN AVE
SPOKANE WA
99201-1312
US

V. Phone/Fax

Practice location:
  • Phone: 509-242-7200
  • Fax: 509-593-4676
Mailing address:
  • Phone: 509-242-7200
  • Fax: 509-593-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KANDI ARNHOLD
Title or Position: ADMINISTRATION SERVICES
Credential:
Phone: 360-770-2955