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Individual

EDWARD DEHERRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDPT

Contact information

Practice address
140 S ARTHUR STREET, SUITE 400, SUITE 400, SPOKANE, WA 99202-9920
(509) 532-8855
(509) 532-8844
Mailing address
140 S ARTHUR ST STE 400, SPOKANE, WA 99202-2220
(509) 532-8855
(509) 532-8844

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C061261876
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO61261876
INSURANCE BILLING
WA
Enumeration date
04/11/2022
Last updated
04/11/2022
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