| Polly Thosath Carlson Ms, Ps | |
|
707 W 7th Ave Suite 260 Spokane WA 99204-2832 | |
| (509) 624-1588 | |
| (509) 624-1615 |
| Full Name | Polly Thosath Carlson Ms, Ps |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 707 W 7th Ave, Spokane, Washington |
| Authorized Official Name and Position | Polly Carlson (OWNER) |
| Authorized Official Contact | 5096241588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polly Thosath Carlson Ms, Ps 707 W 7th Ave Suite 260 Spokane WA 99204-2832 Ph: (509) 624-1588 | Polly Thosath Carlson Ms, Ps 707 W 7th Ave Suite 260 Spokane WA 99204-2832 Ph: (509) 624-1588 |
| NPI Number | 1134254923 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134254923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH00005219 (Washington) | Primary |
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