JESSICA ANN RANDOCK

SPOKANE, WA
NPI1851888457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60499946)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
JESSICA ANN RANDOCK CDP
22 S THOR ST
SPOKANE, WA 99202-4855
Phone number: 509-533-2000
Mailing Address
JESSICA ANN RANDOCK CDP
22 S THOR ST
SPOKANE, WA 99202-4855
Phone number: 509-533-2000