MEDICARE: THERESA SHISSLER MSW, 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	LH60362453	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982101523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESA SHISSLER MSW, LMHC

Provider Business Mailing Address
First Line	:	104 S FREYA ST STE 114
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-4868
Country	:	US
Telephone Number	:	509-325-4169
Fax Number	:	509-325-4239

Provider Business Practice Location Address
First Line	:	104 S FREYA ST STE 114
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99202-4868
Country	:	US
Telephone Number	:	509-325-4169
Fax Number	:	509-325-4239

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	04/10/2018

Similar Medicare Providers

1649490012 — MR. JOHN CHARLES WANTULOK DDS
Practice Location Address:

S 104 FREYA #213A ORANGE FLAG BLDG
SPOKANE, WA
99202-4868

Practice Phone: 509-535-2552
Practice Fax: 509-535-3345

1669751392 — ALANA K BOWMAN MS, NCC, LMHC
Practice Location Address:

104 S FREYA ST STE 114
SPOKANE, WA
99202-4868

Practice Phone: 509-325-4169
Practice Fax: 509-325-4239

1407305816 — MICHAEL GRISHIN DN
Practice Location Address:

104 S FREYA ST STE 213A
SPOKANE, WA
99202-4868

Practice Phone: 509-768-2097
Practice Fax:

1912491192 — MARE E COBB MA, LMHC
Practice Location Address:

104 S FREYA ST STE 114
SPOKANE, WA
99202-4868

Practice Phone: 503-325-4169
Practice Fax: 509-325-4239

1689316796 — TAREYN LYN GOSSLER-GREEN PA
Practice Location Address:

2420 E 29TH AVE STE 100
SPOKANE, WA
99223-4868

Practice Phone: 509-724-4320
Practice Fax:

1548707110 — ROCKWOOD CLINIC PS
Practice Location Address:

2420 E 29TH AVE , SUITE 100
SPOKANE, WA
99223-4868

Practice Phone: 509-724-4320
Practice Fax: 509-838-1478

Directions to “ THERESA SHISSLER MSW, LMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.