Organization
MINDFUL TALK THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE SANTIAGO LMFT (OWNER)
(619) 549-0906
Entity
Organization
Contact information
Practice address
1728 W 11TH AVE, SPOKANE, WA 99204-4161
(619) 549-0906
Mailing address
1728 W 11TH AVE, SPOKANE, WA 99204-4161
(619) 549-0906
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF60622148
LICENSE FOR PRACTICING
WA
Enumeration date
01/07/2021
Last updated
01/07/2021
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