Provider Demographics
NPI:1578998480
Name:AGRELLA, CASIDHE ANNE (LF60816977)
Entity Type:Individual
Prefix:
First Name:CASIDHE
Middle Name:ANNE
Last Name:AGRELLA
Suffix:
Gender:F
Credentials:LF60816977
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E 2ND AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-2257
Mailing Address - Country:US
Mailing Address - Phone:509-822-3709
Mailing Address - Fax:509-474-9806
Practice Address - Street 1:901 E 2ND AVE STE 206
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-2257
Practice Address - Country:US
Practice Address - Phone:509-570-3176
Practice Address - Fax:509-474-9806
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60816977106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist