Individual
CRAIG JOSEPH DEARDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
124 E SHORT AVE, SPOKANE, WA 99202-1555
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60742843
WA
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
LW61357443
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60742843
WA
Other
Enumeration date
03/10/2017
Last updated
02/22/2023
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