Individual
DEBBIE DEHAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1639
(509) 324-0163
Mailing address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00004774
WA
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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