Individual
LISA WILLMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP60682706
Contact information
Practice address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
(509) 456-5710
Mailing address
PO BOX 4627, SPOKANE, WA 99220-0627
(509) 456-5465
(509) 456-5710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60682706
WA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/31/2017
Last updated
12/18/2024
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