Individual
BEVERLY HAMMEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E PACIFIC AVE, SPOKANE, WA 99202-1518
(509) 209-2739
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2014
Last updated
08/29/2023
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