Individual
ANJA NICOLE KHOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2118 E SPRAGUE AVE, SPOKANE, WA 99202-3125
(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
MC60887461
WA
101YM0800X
Mental Health Counselor
Primary
LH61032475
WA
101YM0800X
Mental Health Counselor
MC60887461
WA
Other
Enumeration date
11/07/2018
Last updated
05/24/2020
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