Individual
MISS MICHELLE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP61057148
Contact information
Practice address
106 W MISSION AVE, SPOKANE, WA 99201-2337
(509) 473-4811
(509) 473-4840
Mailing address
106 W MISSION AVE, SPOKANE, WA 99201-2337
(509) 473-4811
(509) 473-4840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60805185
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61057148
WA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20097
—
WA
Enumeration date
09/05/2018
Last updated
12/03/2024
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