| Cup Of Cool Water | |
|
1106 W 2nd Ave Spokane WA 99201-4506 | |
| (509) 747-6686 | |
| Not Available |
| Full Name | Cup Of Cool Water |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1106 W 2nd Ave, Spokane, Washington |
| Authorized Official Name and Position | Blake Randolph Waltman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5097476686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cup Of Cool Water 1106 W 2nd Ave Spokane WA 99201-4506 Ph: (509) 747-6686 | Cup Of Cool Water 1106 W 2nd Ave Spokane WA 99201-4506 Ph: (509) 747-6686 |
| NPI Number | 1730837899 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730837899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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