Individual
MRS. MELISSA DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA, MHCA
Contact information
Practice address
23403 E MISSION AVE STE 200G, LIBERTY LAKE, WA 99019-7576
(208) 718-2728
Mailing address
PO BOX 14452, SPOKANE VLY, WA 99214-0452
(509) 995-1614
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
60970280
WA
106H00000X
Marriage & Family Therapist
Primary
60970281
WA
Other
Enumeration date
03/01/2021
Last updated
04/21/2021
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