Individual
KACEY LYNN BONASERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61640045
WA
104100000X
Social Worker
Primary
SWIA.SC.70087334
WA
1041C0700X
Clinical Social Worker
SWIA.SC.70087334
WA
Other
Enumeration date
12/17/2024
Last updated
07/30/2026
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