Individual
JACOB MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMFTA
Contact information
Practice address
1402 S GRAND BLVD STE 201, SPOKANE, WA 99203-5001
(509) 209-9664
Mailing address
1204 E AUGUSTA AVE, SPOKANE, WA 99207-2438
(208) 741-0107
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MG61449528
WA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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