Healthcare Provider Details

I. General information

NPI: 1942867031
Provider Name (Legal Business Name): EUNICE KUTSAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 E BOONE AVE
SPOKANE WA
99202-3607
US

IV. Provider business mailing address

7915 N REGAL ST
SPOKANE WA
99217-7853
US

V. Phone/Fax

Practice location:
  • Phone: 17-893-4509
  • Fax:
Mailing address:
  • Phone: 509-552-7928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: