Individual
GAVIN TYLER PARROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, AA
Contact information
Practice address
5025 N MARKET ST, SPOKANE, WA 99217-5032
(509) 838-4651
Mailing address
107. S. DIVISION STREET, SPOKANE, WA 99202
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61327402
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2022
Last updated
11/22/2022
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