Individual
CECELIA J MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
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
Primary
CG61103223
WA
175T00000X
Peer Specialist
—
—
Other
Enumeration date
09/24/2020
Last updated
03/02/2021
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