Individual
LISA MOZELLE KUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC
Contact information
Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8200
(509) 444-7806
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
(509) 444-7806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60843895
WA
Other
Enumeration date
01/02/2019
Last updated
12/27/2021
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