Individual
ERNEST E HENNIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
398 SOUTH MAIN, TOWN CENTER BLDG SUITE 207, COLVILLE, WA 99114
(509) 685-7834
(509) 685-2170
Mailing address
1200 EAST COLUMBIA, COLVILLE, WA 99114
(509) 684-3701
(509) 684-4180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH00004995
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8940562
L&I CRIME VICTIMS
WA
Enumeration date
08/21/2006
Last updated
07/08/2007
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