Individual
BETHIAH STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, AAC
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4700
(509) 951-5136
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60866222
WA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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