Individual
VERNA MICHELLE MONIQUE SARQUILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
301 E CLAY AVE STE 201, CHEWELAH, WA 99109-8936
(509) 935-4808
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
LW61436586
WA
104100000X
Social Worker
Primary
LW61436586
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60960052
WA
Other
Enumeration date
04/16/2019
Last updated
07/16/2024
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