Theresa Marie Clancy
Counselor in Spokane, WA. Individual provider (NPI-1).
NPI number1265022073
StatusActive
Last updated in NPPESJan 25, 2021
Details
- NPI
- 1265022073
- Entity type
- Individual (NPI-1)
- Name
- Theresa Marie Clancy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2021
- Certification date
- Jan 25, 2021
- Last updated
- Jan 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | WA | Yes |
Practice location
3910 W Indian Trail RdSpokane, WA 99208-4739
Phone 509-559-3100
Mailing address
3754 W Indian Trail RdSpokane, WA 99208-4736
Phone 509-559-3100
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