Provider Demographics
NPI:1720791791
Name:SPENCE, ARIELLA
Entity type:Individual
Prefix:
First Name:ARIELLA
Middle Name:
Last Name:SPENCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W FRANCIS AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6413
Mailing Address - Country:US
Mailing Address - Phone:509-433-7755
Mailing Address - Fax:509-385-0022
Practice Address - Street 1:515 W FRANCIS AVE STE 5
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6413
Practice Address - Country:US
Practice Address - Phone:509-433-7755
Practice Address - Fax:509-385-0022
Is Sole Proprietor?:No
Enumeration Date:2023-01-04
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WACG61271140101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program