Individual
BLAKE ELLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
504 E 2ND AVE, SPOKANE, WA 99202-1406
(509) 462-2500
Mailing address
1004 E 42ND AVE, SPOKANE, WA 99203-6204
(509) 227-9525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-7668
ID
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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