Individual
LISA ANSELMOMARNACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC
Contact information
Practice address
11212 N CALISPEL CT, SPOKANE, WA 99218-2585
(509) 847-5437
(509) 691-4367
Mailing address
11212 N CALISPEL CT, SPOKANE, WA 99218-2585
(509) 847-5437
(509) 691-4367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LH60680484
WA
Other
Enumeration date
07/30/2017
Last updated
07/21/2022
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