ALBERT AGUSTAV STALEY

SPOKANE, WA
NPI1063069532
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  MC61402028)
Enumeration Date2019-08-20
Last Update Date2023-02-08
Business Address
ALBERT AGUSTAV STALEY BS, LMHC-A
3707 W LONGFELLOW AVE
SPOKANE, WA 99205-1852
Phone number: 509-312-7482
Mailing Address
ALBERT AGUSTAV STALEY BS, LMHC-A
3707 W LONGFELLOW AVE
SPOKANE, WA 99205-1852
Phone number: 509-312-7482