person
Tennille Anna Lightfoot, CP00005071
Addiction (Substance Use Disorder) Counselor in Spokane, Washington
NPI 1699247130

Tennille Anna Lightfoot is an Addiction (Substance Use Disorder) Counselor based in Newman Lake, WA and is specialized in Addiction (Substance Use Disorder). Tennille Anna Lightfoot practices in Spokane, WA and has the professional credentials of CP00005071. The NPI Number for Tennille Anna Lightfoot is 1699247130 and holds a License No. CP00005071 (Washington).

The current practice location address for Tennille Anna Lightfoot is 3400 W Garland Ave, Spokane, WA and can be reached out via phone at 509-325-2355 and via fax at 509-326-3370.

Location: 3400 W Garland Ave, Spokane, WA, 99025-9484
person
Provider Profile Details
NPI Number
1699247130
Provider Name
Tennille Anna Lightfoot
Credential
CP00005071
Provider Entity Type
Individual
Gender
Female
Address
3400 W Garland Ave, Spokane, WA, 99025-9484
Phone Number
509-325-2355
Fax Number
509-326-3370
Provider Enumeration Date
12/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP00005071 05 WA
institution
Provider Business Practice Location Address Details
Address
3400 W Garland Ave
City
State
Zip
99205-2119
Phone Number
509-325-2355
Fax Number
509-326-3370
person
Provider Business Mailing Address Details
Address
3400 W Garland Ave
City
State
Zip
99205-2119
Phone Number
509-325-2355
Fax Number
509-326-3370
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00005071 (Washington)
Definition
Definition to come...
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