Individual
GERALDINE FRANCES HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4642
Mailing address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60755086
WA
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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