Individual
MR. JEREMY DAMON OBERENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, SUDP, LICSWA, M
Contact information
Practice address
622 E 2ND AVE, SPOKANE, WA 99202-2202
(509) 960-8529
Mailing address
3325 W HOFFMAN AVE, SPOKANE, WA 99205-1713
(509) 315-7312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61156622
WA
101YM0800X
Mental Health Counselor
SC61572929
WA
1041C0700X
Clinical Social Worker
Primary
SC61572929
WA
Other
Enumeration date
07/29/2019
Last updated
03/20/2025
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