MEDICARE: TODD WILLIAM PATRICK LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH 60283854	WA

General Provider Information

NPI Number	:	1295831931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD WILLIAM PATRICK LMHC

Provider Business Mailing Address
First Line	:	624 W HASTINGS RD STE 1
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2877
Country	:	US
Telephone Number	:	509-788-7398
Fax Number	:

Provider Business Practice Location Address
First Line	:	624 W HASTINGS RD STE 1
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-2877
Country	:	US
Telephone Number	:	509-788-7398
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	07/20/2025

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