Individual
LISA F PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
11711 E SPRAGUE AVE STE D4, SPOKANE VALLEY, WA 99206-6122
(509) 927-6838
(509) 927-6845
Mailing address
11711 E SPRAGUE AVE, SUITE D4, SPOKANE VALLEY, WA 99206-6126
(509) 927-6838
(509) 927-6845
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60118467
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2268076
—
WA
01
—
61101238
BEHAVIORAL HEATH AGENCY
WA
01
—
61468012
BEHAVIOR HEALTH AGENCY SUBSTANCE USE AND MENTAL HEALTH
WA
Enumeration date
06/13/2013
Last updated
01/31/2024
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