Individual
JENNIE STMARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208-1122
(509) 838-4651
Mailing address
5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 99208-1122
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61287726
WA
175T00000X
Peer Specialist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
CG61287726
WA
Other
Enumeration date
08/23/2021
Last updated
09/30/2022
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