Individual
CALISTA MACKENZIE GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W MISSION AVE, SPOKANE, WA 99201-2337
(509) 473-4810
Mailing address
106 W MISSION AVE, SPOKANE, WA 99201-2337
(509) 473-4810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61250774
WA
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
01/27/2026
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