MEDICARE: ASCEND NETWORK CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101YM0800X	Mental Health Counselor	WA
2	101YP2500X	Professional Counselor	WA
3	2084P0800X	Psychiatry Physician	WA

General Provider Information

NPI Number	:	1912496035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND NETWORK CORP

Provider Business Mailing Address
First Line	:	1312 N MONROE ST STE 271
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2623
Country	:	US
Telephone Number	:	208-718-2528
Fax Number	:	509-232-5547

Provider Business Practice Location Address
First Line	:	1312 N MONROE ST STE 271
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2623
Country	:	US
Telephone Number	:	208-718-2528
Fax Number	:	509-232-5547

Authorized Official
Title or Position	:	OWNER
Name	:	TERRESE A DONNELLY
Credential	:	MBA
Telephone Number	:	208-850-1886

Provider Enumeration Date	:	05/03/2018
Last Update Date	:	10/16/2024

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Directions to “ASCEND NETWORK CORP ” Practice Location

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