Individual
MS. MICHELLE MINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, CDP
Contact information
Practice address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
(509) 326-5025
Mailing address
44 E COZZA DR, SPOKANE, WA 99208-6514
(509) 325-6800
(509) 326-5025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60589654
WA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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