Individual
MRS. BETTY L. VICENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
421 W RIVERSIDE AVE, SUITE 710, SPOKANE, WA 99201-0405
(509) 279-8232
Mailing address
PO BOX 10083, SPOKANE, WA 99209-1083
(509) 279-8232
(509) 325-0104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00049637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50008
—
WA
Enumeration date
03/16/2007
Last updated
12/21/2011
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