Provider Demographics
NPI:1720449861
Name:WHE, WHE (MED)
Entity Type:Individual
Prefix:
First Name:WHE
Middle Name:
Last Name:WHE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:WHE
Other - Middle Name:
Other - Last Name:FOEDISCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED
Mailing Address - Street 1:100 N HOWARD ST STE R
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:415-595-7445
Mailing Address - Fax:
Practice Address - Street 1:716 W CARSON ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-3518
Practice Address - Country:US
Practice Address - Phone:415-595-7445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-17
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61326116101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health