Individual
ETHAN HARRISON DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
FRONTIER BEHAVIORAL HEALTH, 505 E NORTH FOOTHILLS DR., SPOKANE, WA 99207
(509) 838-4651
Mailing address
FRONTIER BEHAVIORAL HEALTH, 107 S. DIVISION STREET, SPOKANE, WA 99202
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61263436
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
01/04/2022
Last updated
10/13/2022
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