MEDICARE: SPOKANE COUNTY

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	251S00000X	Community/Behavioral Health Agency	252	WA

General Provider Information

NPI Number	:	1386877058
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPOKANE COUNTY

Provider Business Mailing Address
First Line	:	1208 W MALLON AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2041
Country	:	US
Telephone Number	:	509-477-2448
Fax Number	:	509-477-2496

Provider Business Practice Location Address
First Line	:	1208 W MALLON AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2041
Country	:	US
Telephone Number	:	509-477-2448
Fax Number	:	509-477-2496

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. BONNIE BUSH
Credential	:
Telephone Number	:	509-477-2406

Provider Enumeration Date	:	08/28/2009
Last Update Date	:	08/28/2009

Similar Medicare Providers

1518210806 — SPOKANE COUNTY
Practice Location Address:

1208 W MALLON AVE , SPOKANE COUNTY JUVENILE COURT
SPOKANE, WA
99201-2041

Practice Phone: 509-477-2406
Practice Fax:

1306190798 — HEATHER STILES
Practice Location Address:

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1346184389 — PRISCILLA PERRIN
Practice Location Address:

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1205781036 — HENDERSON COUNSELING SERVICES PLLC
Practice Location Address:

101 N HOWARD ST
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1376272781 — ANNA PEASE B.A. PSYCHOLOGY
Practice Location Address:

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1245175769 — CLAIRE PETERSON
Practice Location Address:

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Practice Fax:

Directions to “SPOKANE COUNTY ” Practice Location

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