Individual
HARLEY RISBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO61124425
Contact information
Practice address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
(509) 456-5710
Mailing address
1107 E LIBERTY AVE, SPOKANE, WA 99207-2867
(509) 866-1470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61124425
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO61124425
WA
Other
Enumeration date
01/19/2022
Last updated
09/01/2022
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