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Individual

JON CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 482-2794
Mailing address
1803 W MAXWELL AVE, SPOKANE, WA 99201-2831
(509) 325-5502
(509) 482-2794

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60063893
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
911462366
WA
Enumeration date
11/02/2018
Last updated
11/02/2018
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