Individual
CHRISTINA MARIE RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5280
Mailing address
3618 N ELLA RD, SPOKANE VALLEY, WA 99212-1926
(509) 688-7859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60836070
WA
Other
Enumeration date
10/05/2018
Last updated
12/13/2018
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