Individual
KARA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4324 N JEFFERSON ST, SPOKANE, WA 99205-1209
(509) 315-8682
Mailing address
15913 E 4TH AVE APT A203, SPOKANE VALLEY, WA 99037-2400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61402968
WA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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