Individual
CODY MILDEBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 E 2ND AVE, SPOKANE, WA 99202-1428
(509) 315-9776
Mailing address
6 W TURNER AVE, SPOKANE, WA 99224-8559
(937) 476-9622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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