Individual
TREVAR CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 6TH ST, CLARKSTON, WA 99403-2079
(509) 254-5053
(509) 769-3500
Mailing address
920 6TH ST, CLARKSTON, WA 99403-2079
(208) 982-5429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
MHC.LH.70069124
WA
101YP2500X
Professional Counselor
Primary
6671759
ID
Other
Enumeration date
03/01/2023
Last updated
07/22/2026
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