Provider Demographics
NPI:1760872543
Name:TROYER, JOHN E (CERTIFIED COUNSELOR)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:TROYER
Suffix:
Gender:M
Credentials:CERTIFIED COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 N C ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2209
Mailing Address - Country:US
Mailing Address - Phone:509-230-5732
Mailing Address - Fax:
Practice Address - Street 1:3618 N C ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2209
Practice Address - Country:US
Practice Address - Phone:509-230-5732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACL 60160491103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst