Individual provider · Type 1 NPI

Annetta Elizabeth Theademan, CO60546132

Counselor · Spokane, WA

NPI number 1578038709 Active

Practice location

312 W 8th Ave
Spokane, WA 99204-2506

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XCO60546132 (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 1578038709

Annetta Elizabeth Theademan, CO60546132's National Provider Identifier is 1578038709, issued on Oct 3, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spokane, WA. The record was last updated on Oct 3, 2018.