Provider Demographics
NPI:1578368304
Name:HAUCK, WENDY RICOUARD (LMHCA)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:RICOUARD
Last Name:HAUCK
Suffix:
Gender:
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 N DIVISION ST # 1094
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2129
Mailing Address - Country:US
Mailing Address - Phone:509-561-1887
Mailing Address - Fax:
Practice Address - Street 1:2624 N DIVISION ST # 1094
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2129
Practice Address - Country:US
Practice Address - Phone:509-561-1887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health