Individual
ALYSHA RACHELLE BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
127 W BOONE AVE, SPOKANE, WA 99201-2309
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61001440
WA
1041C0700X
Clinical Social Worker
Primary
LW61368483
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/17/2019
Last updated
02/22/2023
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