Individual
BRENDA M THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
2400 N CRAIG RD, SPOKANE, WA 99224-9568
(509) 244-5610
Mailing address
2400 N CRAIG RD, SPOKANE, WA 99224-9568
(509) 244-5610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61007256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP61007256
SUDP LICENSE
WA
Enumeration date
08/30/2018
Last updated
10/30/2021
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