Individual
KYANNE MARIE THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S FREYA ST, SPOKANE, WA 99202-4862
(509) 368-9863
Mailing address
104 S FREYA ST, SPOKANE, WA 99202-4862
(509) 368-9863
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61414647
WA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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