Karen S Bontrager
Counselor, Mental Health in Spokane, WA. Individual provider (NPI-1).
NPI number1669974176
StatusActive
Last updated in NPPESMar 1, 2018
Details
- NPI
- 1669974176
- Entity type
- Individual (NPI-1)
- Name
- Karen S Bontrager
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2018
- Last updated
- Mar 1, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MC60803268 | WA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CO60719719 | WA |
Practice location
3754 W Indian Trail RdSpokane, WA 99208-4736
Phone 509-328-7041 · Fax 509-328-7582
Mailing address
3754 W Indian Trail RdSpokane, WA 99208-4736
Phone 509-328-7041 · Fax 509-328-7582
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