Organization
MIRROR POND THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA COORDES LMHC (OWNER)
(509) 903-5430
Entity
Organization
Contact information
Practice address
9017 E EUCLID AVE STE B, SPOKANE VALLEY, WA 99212-2049
(509) 903-5430
Mailing address
PO BOX 398, ELK, WA 99009-0398
(509) 999-9321
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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