Individual
MR. COREY KENNETH HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHEMICAL DEPENDENCY
Contact information
Practice address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60681052
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
10/31/2018
Last updated
10/31/2018
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