Individual
JASON LAVAR RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
11707 E SPRAGUE AVE, SUITE 202, SPOKANE VALLEY, WA 99206-6110
(509) 926-6581
(509) 921-1375
Mailing address
11707 E SPRAGUE AVE, SUITE 202, SPOKANE VALLEY, WA 99206-6110
(509) 926-6581
(509) 921-1375
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00057314
WA
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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