Individual
SAMANTHA JO BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 S RAYMOND RD, SPOKANE VALLEY, WA 99206-3534
(509) 796-0742
(509) 352-5760
Mailing address
1421 W 9TH AVE APT 101, SPOKANE, WA 99204-3335
(208) 964-7689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60871550
WA
Other
Enumeration date
02/18/2019
Last updated
04/06/2026
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