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Heidi Jo Buntrock, MED
Student in an Organized Health Care Education/Training Program in Spokane, Washington
NPI 1457821704

Heidi Jo Buntrock is a Student in an Organized Health Care Education/Training Program based in Spokane, WA. Heidi Jo Buntrock practices in Spokane, WA and has the professional credentials of MED. The NPI Number for Heidi Jo Buntrock is 1457821704 and holds a License No. CG60918190 (Washington).

The current practice location address for Heidi Jo Buntrock is 711 E 3Rd Ave, Spokane, WA and can be reached out via phone at 509-838-4651.

Location: 711 E 3Rd Ave, Spokane, WA, 99202-1510
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457821704
Provider Name
Heidi Jo Buntrock
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
711 E 3Rd Ave, Spokane, WA, 99202-1510
Phone Number
509-838-4651
Fax Number
Provider Enumeration Date
11/29/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
711 E 3Rd Ave
City
Spokane
State
Washington
Zip
99202-2211
Phone Number
509-838-4651
Fax Number
person
Provider Business Mailing Address Details
Address
711 E 3Rd Ave
City
Spokane
State
Washington
Zip
99202-2211
Phone Number
509-838-4651
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60918190 (Washington)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CG60918190 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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