Individual provider · Type 1 NPI

Jaceya Prophet

Counselor · Spokane, WA

NPI number 1477201390 Active

Practice location

124 E Pacific Ave
Spokane, WA 99202-1518

Mailing address

107 S Division St
Spokane, WA 99202-1510

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCG61151835 (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 1477201390

Jaceya Prophet's National Provider Identifier is 1477201390, issued on Mar 10, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Mar 10, 2022.