Provider Demographics
NPI:1437774445
Name:MUNSON, ROSE SACCO (LMHC)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:SACCO
Last Name:MUNSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:JEANETTE
Other - Last Name:MUNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:302 E 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1117
Mailing Address - Country:US
Mailing Address - Phone:509-991-2393
Mailing Address - Fax:
Practice Address - Street 1:1337 S GRAND BLVD STE 106
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1136
Practice Address - Country:US
Practice Address - Phone:509-991-2393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-15
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61404533101YM0800X
WALH61404533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health