Individual provider · Type 1 NPI

Brian Mizoguchi, CDP

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1477828556 Active

Practice location

5921 N Market St
Spokane, WA 99208-2484

Call (509) 487-1604 Map

Fax (509) 482-6286

Mailing address

203 N Washington St Ste 300
Spokane, WA 99201-0233

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60145164 (WI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1477828556

Brian Mizoguchi, CDP's National Provider Identifier is 1477828556, issued on Mar 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Mar 21, 2012.