Individual provider · Type 1 NPI

Mariah Pan

Counselor · Spokane, WA

NPI number 1104787001 Active

Practice location

107 S Division St
Spokane, WA 99202-1510

Call (509) 838-4651 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG70070638 (WA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104787001

Mariah Pan's National Provider Identifier is 1104787001, issued on Nov 20, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Nov 20, 2025.