Individual
CHRISTOPHER JEREMY MAGNUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
701 E 3RD AVE, SPOKANE, WA 99202-6014
(509) 838-6092
Mailing address
3008 E 34TH AVE, SPOKANE, WA 99223-4621
(509) 279-5461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61448661
WA
Other
Enumeration date
06/29/2023
Last updated
08/26/2024
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