Individual
JACOB R SPANJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 W COURT ST, 2ND FLOOR, PASCO, WA 99301-4153
(509) 545-6505
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60225687
WA
1041C0700X
Clinical Social Worker
Primary
LW61468090
WA
Other
Enumeration date
04/12/2013
Last updated
11/14/2023
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