Individual
HOLLY MEGINNISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
701 HOSPITAL LOOP STE 321, FAIRCHILD AIR FORCE BASE, WA 99011-8704
(509) 247-2361
Mailing address
5211 N CRESTLINE ST, SPOKANE, WA 99207-4004
(509) 724-0319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61291272
WA
1041C0700X
Clinical Social Worker
Primary
LW61018562
WA
Other
Enumeration date
02/16/2016
Last updated
06/11/2024
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