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Edward Deherrera, SUDPT
Addiction (Substance Use Disorder) Counselor in Spokane, Washington
NPI 1053053934

Edward Deherrera is an Addiction (Substance Use Disorder) Counselor based in Spokane, WA and is specialized in Addiction (Substance Use Disorder). Edward Deherrera practices in Spokane, WA and has the professional credentials of SUDPT. The NPI Number for Edward Deherrera is 1053053934 and holds a License No. C061261876 (Washington).

The current practice location address for Edward Deherrera is 140 S Arthur Street, Suite 400, Spokane, WA and can be reached out via phone at 509-532-8855 and via fax at 509-532-8844.

Location: 140 S Arthur Street, Suite 400, Spokane, WA, 99202-2220
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Provider Profile Details
NPI Number
1053053934
Provider Name
Edward Deherrera
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
140 S Arthur Street, Suite 400, Spokane, WA, 99202-2220
Phone Number
509-532-8855
Fax Number
509-532-8844
Provider Enumeration Date
04/11/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO61261876 01 WA INSURANCE BILLING
institution
Provider Business Practice Location Address Details
Address
140 S Arthur Street, Suite 400
City
State
Zip
99202-9920
Phone Number
509-532-8855
Fax Number
509-532-8844
person
Provider Business Mailing Address Details
Address
140 S Arthur Street, Suite 400
City
State
Zip
99202-9920
Phone Number
509-532-8855
Fax Number
509-532-8844
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
C061261876 (Washington)
Definition
Definition to come...
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