Individual
ELISABETH OLIVIA HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 N ARGONNE RD, SPOKANE VALLEY, WA 99212-2699
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61344208
WA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
07/29/2020
Last updated
02/07/2023
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