Individual
AUSTYN MATTHEW KAGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
127 W BOONE AVE, SPOKANE, WA 99201-2309
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60792888
WA
Other
Enumeration date
11/01/2018
Last updated
11/26/2018
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