Individual
JOEY DEAN FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4305 E TRENT AVE, SPOKANE, WA 99212-2339
(509) 495-1207
Mailing address
1617 E HERITAGE LN, SPOKANE, WA 99208-8509
(808) 729-6307
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14928019
CAQH
WA
Enumeration date
07/24/2020
Last updated
07/24/2020
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