Individual
ELIZA MAE HERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1221 W 12TH AVE, SPOKANE, WA 99204-3907
(509) 868-2927
Mailing address
1221 W 12TH AVE, SPOKANE, WA 99204-3907
(509) 868-2927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60783230
WA
1041C0700X
Clinical Social Worker
Primary
LW61537973
WA
Other
Enumeration date
11/29/2018
Last updated
05/07/2024
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