Provider Demographics
NPI:1336114107
Name:ENGLISH, SUSAN THERESE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:THERESE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 141378
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99214-1378
Mailing Address - Country:US
Mailing Address - Phone:509-892-3784
Mailing Address - Fax:509-892-3819
Practice Address - Street 1:11207 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5009
Practice Address - Country:US
Practice Address - Phone:509-892-3784
Practice Address - Fax:509-892-3819
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003712101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health