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Individual

MICHELLE JEANETTE EVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, CMHS

Contact information

Practice address
521 N ARGONNE RD, BUILDING B SUITE 105, SPOKANE VALLEY, WA 99212-2954
(509) 329-8413
Mailing address
521 N ARGONNE RD, BUILDING B SUITE 105, SPOKANE VALLEY, WA 99212-2954
(509) 329-8413

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC60443410
WA
1041C0700X
Clinical Social Worker
Primary
LW60904652
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2114157
WA
Enumeration date
12/13/2016
Last updated
09/28/2022
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