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Individual

CODY BRUMBELOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHCA

Contact information

Practice address
522 W RIVERSIDE AVE, SPOKANE, WA 99201-0580
(423) 521-0185
Mailing address
120 MOSS DR, DALTON, GA 30721-4648

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61666657
WA
101YM0800X
Mental Health Counselor
MC61322136
WA

Other

Enumeration date
07/26/2022
Last updated
04/28/2025
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