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Individual

JOSHUA SCOTT ANTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, PA-C

Contact information

Practice address
10410 E 9TH AVE, SPOKANE VALLEY, WA 99206-3510
(509) 321-9050
Mailing address
6103 W WINDRIVER DR, SPOKANE, WA 99208-9018
(509) 979-4790

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LH60460265
WA
101YM0800X
Mental Health Counselor
LH60460265
WA
363A00000X
Physician Assistant
Primary
PA61124921
WA

Other

Enumeration date
05/18/2017
Last updated
07/21/2022
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