Individual
HENOCK SEYOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S THOR ST, SPOKANE, WA 99202-4855
(509) 532-2000
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61097343
WA
101YM0800X
Mental Health Counselor
CO61387993
WA
Other
Enumeration date
12/07/2022
Last updated
02/21/2025
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