Individual
EILEEN SUSAN MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E 3RD AVE, SPOKANE, WA 99202-6014
(509) 838-6092
(509) 838-6110
Mailing address
5606 W PACIFIC PARK DR, SPOKANE, WA 99208-9611
(509) 435-1903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00000031
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202064370WA
—
WA
Enumeration date
11/22/2017
Last updated
11/22/2017
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