Organization · NPI-2

Alyssa Brudnicki LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Spokane, WA

NPI number1366116451
StatusActive
Last updated in NPPESAug 3, 2021

Details

NPI
1366116451
Entity type
Organization (NPI-2)
Legal business name
Alyssa Brudnicki LLC
Organization subpart
No
Enumeration date
Aug 3, 2021
Certification date
Aug 3, 2021
Last updated
Aug 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Alyssa Brudnicki (Doing Business As)

Practice location

9631 N Nevada St Ste 209
Spokane, WA 99218-1197

Phone 509-362-1723

Mailing address

1609 E 8th Ave
Spokane, WA 99202-3405

Phone 509-362-1723

Authorized official

Alyssa K Brudnicki
Licensed Clinical Social Worker
5093621723

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