Individual
MR. JAY ALVIN CUSKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2118 E SPRAGUE AVE, SPOKANE, WA 99202-3125
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC- 19475
MT
106H00000X
Marriage & Family Therapist
Primary
LF60903643
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2123408
—
WA
Enumeration date
11/09/2016
Last updated
03/28/2019
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