Individual
KAITLIN FOGELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1420
Mailing address
518 S BROWNE ST, SPOKANE, WA 99204-2315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60737347
WA
Other
Enumeration date
03/22/2017
Last updated
12/16/2019
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