Individual provider · Type 1 NPI

Tennille Anna Lightfoot, CP00005071

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1699247130 Active

Practice location

3400 W Garland Ave
Spokane, WA 99205-2119

Call (509) 325-2355 Map

Fax (509) 326-3370

Mailing address

14025 N Koth Rd
Newman Lake, WA 99025-9484

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP00005071 (WA)

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

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About NPI 1699247130

Tennille Anna Lightfoot, CP00005071's National Provider Identifier is 1699247130, issued on Dec 21, 2018. 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 Dec 21, 2018.