Provider Demographics
NPI:1083023527
Name:ESPIAU, ROBERT (MFTA, CADC II, CDP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:ESPIAU
Suffix:
Gender:M
Credentials:MFTA, CADC II, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E ERMINA AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2540
Mailing Address - Country:US
Mailing Address - Phone:805-266-3734
Mailing Address - Fax:
Practice Address - Street 1:1212 N WASHINGTON ST
Practice Address - Street 2:SUITE 206
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2403
Practice Address - Country:US
Practice Address - Phone:509-209-9486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR03-03-54101YA0400X
WA60456771101YA0400X
WAMG 60472495106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)