Individual
CARRISSA BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3157 E 34TH AVE, SPOKANE, WA 99223-4622
(208) 310-0266
Mailing address
3157 E 34TH AVE, SPOKANE, WA 99223-4622
(208) 310-0266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61234673
WA
Other
Enumeration date
11/05/2018
Last updated
11/10/2025
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