Individual
JOHN DENENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 E SPRAGUE AVE STE 115, SPOKANE, WA 99202-2110
(509) 822-7395
Mailing address
715 E SPRAGUE AVE STE 115, SPOKANE, WA 99202-2110
(509) 822-7395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60600501
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP 60600501
WASHINGTON STATE DEPARTMENT OFHEALTH
WA
Enumeration date
02/10/2016
Last updated
02/10/2016
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