Individual provider · Type 1 NPI

Mary C. Ezenwa, BS, MA

Counselor · Spokane, WA

NPI number 1285102426 Active

Practice location

505 E North Foothills Dr
Spokane, WA 99207-2101

Call (509) 838-4651 Map

Mailing address

107 S Division St
Spokane, WA 99202-1510

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG60608656 (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 1285102426

Mary C. Ezenwa, BS, MA's National Provider Identifier is 1285102426, issued on Nov 6, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Nov 16, 2018.