Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | CO60983071 | WA |
NPI | 1003432055 |
---|---|
Provider Name | Sara Robinson |
First Address | Spokane, WA 99205-5313 |
Second Address | Spokane, WA 99202-4855 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2020 |
Last Update Date | 24/06/2020 |