Provider Demographics
NPI:1043095748
Name:VANCEDARFIELD, RHONDA JANE
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:JANE
Last Name:VANCEDARFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 E BISMARK AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-2816
Mailing Address - Country:US
Mailing Address - Phone:509-904-2741
Mailing Address - Fax:
Practice Address - Street 1:1823 E BISMARK AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-2816
Practice Address - Country:US
Practice Address - Phone:509-904-2741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)