Individual
MARTAL LEE SPARKS PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-2223
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
LF60953060
WA
106H00000X
Marriage & Family Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LF60953060
PROVIDER LICENSE NUMBER
WA
Enumeration date
04/01/2011
Last updated
04/10/2020
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