Individual
JULIE THACKSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 W GARLAND AVE, SPOKANE, WA 99205-2616
(509) 710-8396
Mailing address
8818 N PRESCOTT RD, SPOKANE, WA 99208-8899
(509) 710-8396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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