MEDICARE: SUSAN T ENGLISH MS

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	LH00003712	WA

General Provider Information

NPI Number	:	1528033750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSAN T ENGLISH MS

Provider Business Mailing Address
First Line	:	PO BOX 141378
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99214-1378
Country	:	US
Telephone Number	:	509-892-3784
Fax Number	:	509-892-3819

Provider Business Practice Location Address
First Line	:	11207 E BROADWAY AVE
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-5009
Country	:	US
Telephone Number	:	509-892-3784
Fax Number	:	509-892-3819

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUSAN THERESE ENGLISH
Credential	:	LMHC
Telephone Number	:	509-892-3784

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	08/22/2020

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