Basic Information
| Provider Information | |||||||||
| NPI: | 1265757975 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SITTSER | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | ELLEN TOZER | ||||||||
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| Credential: | RN, LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10103 N. DIVISION | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 99218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5094671156 | ||||||||
| FaxNumber: | 5094680462 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 W 8TH AVE | ||||||||
| Address2: | SUITE 332C | ||||||||
| City: | SPOKANE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 992042302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5098387400 | ||||||||
| FaxNumber: | 5098386827 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2010 | ||||||||
| LastUpdateDate: | 07/19/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN00073868 | WA | N | Nursing Service Providers | Registered Nurse | 101YM0800X | LH60124974 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.