Individual
GIANNA BOESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1224 N ASH ST, SPOKANE, WA 99201-2802
(509) 326-7740
(509) 326-6725
Mailing address
1224 N ASH ST, SPOKANE, WA 99201-2802
(509) 326-7740
(509) 326-6725
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60325204
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952474405
—
WA
Enumeration date
02/19/2015
Last updated
02/19/2015
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