Sally A Despain RC

NPI 1487842159 - Counselor - 101YM0800X

NPI Details
NPI 1487842159
Gender Female
Enumeration Date 10/09/2007
Last Updated 10/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
309 S JEFFERSON ST
COLVILLE WA, 99114-3247, US
Phone (509) 684-3870
Fax
Business Location
165 E HAWTHORNE AVE
COLVILLE WA, 99114-2629, US
Phone (509) 684-4597
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Washington
License Number RC00042138
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According to our database, Sally A Despain RC NPI is 1487842159, taxonomy code is 101YM0800X and license number is RC00042138, license state is located at Washington. Sally A Despain RC physically located at 309 S Jefferson St, Colville WA, 99114-3247. NPI Number Sally A Despain RC has the Individual type.

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1487842159 NPI number is provided on an as is basis without warranty of any kind. 1487842159 is maintained by the National Plan & Provider Enumeration System. The contents of Sally A Despain RC are for informational purposes only.