Individual
BRADLEY KUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHC
Contact information
Practice address
3917 N MONROE ST, SPOKANE, WA 99205-9920
(509) 822-6777
Mailing address
5012 N ELGIN ST, SPOKANE, WA 99205-5644
(253) 617-8857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0000
WA
101YM0800X
Mental Health Counselor
Primary
61195059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000
—
WA
Enumeration date
02/25/2019
Last updated
08/20/2021
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