Individual
TANAYSHA REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W BOONE AVE, SPOKANE, WA 99201-2309
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61253014
—
104100000X
Social Worker
Primary
SC61475864
WA
Other
Enumeration date
03/31/2022
Last updated
12/13/2023
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