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Organization
FOUNDATIONS FAMILY SUPPORT LLC
Active
Organization
FOUNDATIONS FAMILY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD MEADE (BILLING/CREDENTIALING)
(509) 822-6777
Entity
Organization
Contact information
Practice address
922 S COWLEY ST STE 9, SPOKANE, WA 99202-1263
(855) 995-6777
(509) 676-6655
Mailing address
922 S COWLEY ST STE 9, SPOKANE, WA 99202-1263
(855) 995-6777
(509) 676-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60786955
WA
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104214
—
WA
Enumeration date
05/03/2018
Last updated
12/30/2024
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