Individual
MATTHEW DAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 W BROADWAY AVE, SPOKANE, WA 99201-2053
(509) 473-4810
Mailing address
1321 W BROADWAY AVE, SPOKANE, WA 99201-2053
(509) 473-4810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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