Individual
MR. LOGAN JAMES GONZALEZ-BELLENKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(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
CAAR.CG.70084614
WA
175T00000X
Peer Specialist
Primary
CAAR.CG.70084614
WA
Other
Enumeration date
04/04/2026
Last updated
04/04/2026
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