Individual
ALYSE LYNNE WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
5901 N LIDGERWOOD ST, SPOKANE, WA 99208-5095
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 383-4651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61129345
WA
Other
Enumeration date
04/28/2022
Last updated
04/29/2022
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