Individual
KATHLEEN ANNETTE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW ASSOCIATE
Contact information
Practice address
2702 N. PERRY, SPOKANE, WA 99207
(509) 714-1545
Mailing address
14322 E ALKI AVE, SPOKANE VALLEY, WA 99216-2007
(509) 714-1545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60025722
WA
1041C0700X
Clinical Social Worker
Primary
SC60369315
WA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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