Individual
AMY LYNNE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
22 S THOR ST, SPOKANE, WA 99202-4855
(509) 532-2000
Mailing address
22 S THOR ST, SPOKANE, WA 99202-4855
(509) 532-2000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG 60664185
WA
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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