Individual
MR. PATRICK RYAN HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1506
Mailing address
4727 N ADAMS ST, SPOKANE, WA 99205-5401
(509) 993-2504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60512400
WA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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