Individual
JAMIE MARIE RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, AA
Contact information
Practice address
1209 W 1ST AVE, SPOKANE, WA 99201
(509) 995-3388
(509) 321-4350
Mailing address
13110 N ADDISON ST, APT E106, SPOKANE, WA 99208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61350480
WA
106S00000X
Behavior Technician
Primary
CB61619201
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100815
—
WA
Enumeration date
09/27/2021
Last updated
10/18/2024
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