Individual
PORNPAN GERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2812 W HELENS LN, SPOKANE, WA 99208-7138
(425) 951-9082
Mailing address
2812 W HELENS LN, SPOKANE, WA 99208-7138
(425) 951-9082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2024012674
MO
Other
Enumeration date
12/09/2020
Last updated
10/24/2024
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