Individual
CHRISTY MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60476981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60476981
91-6001372
WA
Enumeration date
01/31/2018
Last updated
12/20/2018
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