Individual
ANGELA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, MHP, CDP-T
Contact information
Practice address
2911 W FORT GEORGE WRIGHT DR, SPOKANE, WA 99224-5202
(509) 455-4977
Mailing address
PO BOX 2253, SPOKANE, WA 99210-2253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60814778
WA
101YM0800X
Mental Health Counselor
Primary
60338531
WA
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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