Individual
CHRISTY LEE ENDICOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 680-5515
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 684-3701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SC 60149472
WA
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
LW60198166
WA
Other
Enumeration date
11/07/2006
Last updated
01/23/2019
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