Individual
LAUREN RENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
2118 E SPRAGUE AVE, SPOKANE, WA 99202-3125
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60800543
WA
103T00000X
Psychologist
Primary
PY60806123
WA
103TC0700X
Clinical Psychologist
6301012102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60806123
WA DEPARTMENT OF HEALTH
WA
Enumeration date
07/02/2010
Last updated
03/22/2021
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