Individual
BRIAN TELLERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
14407 E OLYMPIC AVE, SPOKANE, WA 99216
(208) 861-1318
Mailing address
PO BOX 3648, COEUR D ALENE, ID 83816-2522
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60871464
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH60871464
WA LICENSE
WA
Enumeration date
11/05/2014
Last updated
08/12/2022
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