Provider Demographics
NPI:1023849155
Name:GERUT, ANNA (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:GERUT
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 W BOONE AVE STE 777
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2323
Mailing Address - Country:US
Mailing Address - Phone:480-409-7425
Mailing Address - Fax:
Practice Address - Street 1:316 W BOONE AVE STE 777
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2323
Practice Address - Country:US
Practice Address - Phone:509-202-7901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-10
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61567170101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health