Individual
MR. JACK POWELL STELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, CDP
Contact information
Practice address
1014 N PINES RD, SUITE 201, SPOKANE VALLEY, WA 99206-6707
(509) 221-0425
(509) 210-6857
Mailing address
11504 E FAIRVIEW AVE, SPOKANE VALLEY, WA 99206
(509) 221-0415
(509) 210-6857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60288035
WA
106H00000X
Marriage & Family Therapist
Primary
LF60178610
WA
Other
Enumeration date
12/18/2013
Last updated
04/04/2015
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