Provider Demographics
NPI:1861990848
Name:SEWARD, KOLLEEN J (CDP, MSW)
Entity type:Individual
Prefix:
First Name:KOLLEEN
Middle Name:J
Last Name:SEWARD
Suffix:
Gender:F
Credentials:CDP, MSW
Other - Prefix:
Other - First Name:KOLLEEN
Other - Middle Name:J
Other - Last Name:FOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CDP
Mailing Address - Street 1:106 W MISSION AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2337
Mailing Address - Country:US
Mailing Address - Phone:509-598-7628
Mailing Address - Fax:509-473-4840
Practice Address - Street 1:1321 W BROADWAY
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-252-6775
Practice Address - Fax:509-473-4840
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker