Provider Demographics
NPI:1083208342
Name:SCOTT, GRETCHEN E (LMFTA)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:E
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5019 W PACIFIC PARK DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9680
Mailing Address - Country:US
Mailing Address - Phone:509-270-2513
Mailing Address - Fax:
Practice Address - Street 1:8601 N DIVISION ST STE H
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-5915
Practice Address - Country:US
Practice Address - Phone:509-270-2513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61073301106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty