Most Relevant Information
Provider Data
| NPI Number: | 1003470006 |
| Provider Name: | GARY MARK FROST |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CP00003456 |
Most Important Dates
| Enumeration Date: | 04/24/2019 |
| Last Updated: | 04/24/2019 |
Provider Practice Location
915 N ELLA RD
SPOKANE VALLEY
WA
992123704
Practice Location Phone/Fax
| Phone: | 5093407214 |
| Fax: |
Provider Mailing Location
804 S LINCOLN PL APT A
SPOKANE
WA
992042920
Provider Mailing Phone/Fax
| Phone: | 5092200672 |
| Fax: |