Individual
MS. LISA MARIE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CDP, CMHS
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WA
1041C0700X
Clinical Social Worker
Primary
LW60807307
WA
Other
Enumeration date
05/07/2015
Last updated
04/29/2020
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