Doctor Name: | CHARISE MONGE |
NPI Number: | 1235525254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHCA |
License Number: | MC60501445 |
Business Practice Address: | 316 W Boone Ave Suite 577 Spokane, WA - 992012354 |
Business Phone Number: | 5092028687 |
Business Fax Number: | |
Mailing Address: | 316 W Boone Ave, Suite 577 SPOKANE |
State: | WA |
Postal Code: | 992012354 |
Phone Number: | 4259194140 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2015 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | MC60501445 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |