Individual
CAMERON RAE HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
905 W RIVERSIDE AVE STE 214, SPOKANE, WA 99201-1099
(509) 589-2327
Mailing address
5317 S PALOUSE HWY APT G150, SPOKANE, WA 99223-7802
(303) 319-5882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60839250
WA
101YM0800X
Mental Health Counselor
Primary
LH61163880
WA
101YM0800X
Mental Health Counselor
MC60839250
WA
Other
Enumeration date
10/31/2018
Last updated
10/08/2023
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