Individual
JO ANN MARISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
701 E 3RD AVE, SPOKANE, WA 99202-6014
(509) 838-6092
Mailing address
701 E 3RD AVE, SPOKANE, WA 99202-6014
(509) 838-6092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61302953
WA
Other
Enumeration date
05/12/2021
Last updated
06/03/2024
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