Individual
MARY MARGARET ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1106 W GARLAND AVE, SPOKANE, WA 99205-2735
(509) 290-3286
Mailing address
4722 N CALISPEL ST, SPOKANE, WA 99205-5106
(509) 290-3286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60779570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60779570
DEPARTMENT OF HEALTH
WA
Enumeration date
02/12/2019
Last updated
02/12/2019
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