| Doctor Name: | BRIAN AHLQUIST |
| NPI Number: | 1033525381 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | LH60657414 |
| Business Practice Address: | 325 S University Rd Ste 202 Spokane Valley, WA - 992066164 |
| Business Phone Number: | 5094757392 |
| Business Fax Number: | |
| Mailing Address: | 325 S University Rd Ste 202, SPOKANE VALLEY |
| State: | WA |
| Postal Code: | 992066164 |
| Phone Number: | 5094757392 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2014 |
| NPI Last Update Date: | 05/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60657414 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |