Individual
JASMIN ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
1819 E SPRINGFIELD AVE STE H, SPOKANE, WA 99202-2954
(509) 999-5657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61154987
WA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2020
Last updated
07/15/2021
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