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Individual

MR. JAMES RUTHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACADC

Contact information

Practice address
3144 W ELOIKA AVE, SPOKANE, WA 99205-7327
(509) 951-8687
Mailing address
PO BOX 10040, SPOKANE, WA 99209-1040
(509) 951-8687

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
203646
INTERNATIONAL CERTIFICATION & RECIPROCITY CONSORTIUM
PA
Enumeration date
04/13/2012
Last updated
03/04/2013
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