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Individual

MISS ALEXANDRIA NICHOLE BEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 E 3RD AVE, SPOKANE, WA 99202-6014
(509) 838-6092
Mailing address
701 E 3RD AVE, SPOKANE, WA 99202-6014
(509) 838-6092

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
61059215
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61059215
SUDPT
WA
Enumeration date
06/26/2020
Last updated
06/26/2020
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