Provider Demographics
NPI:1174504559
Name:LAW, WILLIAM A (LPC,LMHC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:LAW
Suffix:
Gender:M
Credentials:LPC,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 S SR 27 HWY APT F101
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6198
Mailing Address - Country:US
Mailing Address - Phone:575-302-1525
Mailing Address - Fax:509-328-7582
Practice Address - Street 1:3711 S SR 27 HWY APT F101
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6198
Practice Address - Country:US
Practice Address - Phone:157-530-2153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60752739101YM0800X, 101YP2500X
NM0086491101YM0800X, 101YP2500X
FLMH4378101YP2500X
COLPC.0013914101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM80779859Medicaid