Organization
LIFELINE COUNSELING AND COMMUNITY SERVICES
Active
Organization
LIFELINE COUNSELING AND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID G CHITTIM LICSW (OWNER/PROVIDER)
(509) 869-8965
Entity
Organization
Contact information
Practice address
1212 N WASHINGTON ST STE 104, SPOKANE, WA 99201-2401
(509) 869-8965
(509) 466-9061
Mailing address
1212 N WASHINGTON ST STE 104, SPOKANE, WA 99201-2401
(509) 869-8965
(509) 466-9061
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60153514
STATE LICENSE
WA
Enumeration date
05/24/2019
Last updated
05/24/2019
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