Individual
BRETT D WILLCOCKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
Mailing address
1321 N ASH ST, SPOKANE, WA 99201-2803
(509) 327-3120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60455856
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
09/17/2019
Last updated
01/29/2020
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