Search › Washington › 103G00000X
Gregory Charboneau, EDD, BCN, BCB
NPI 1790773463 · on the registry since 2005 · sole proprietor
Practice
- Address
- 3157 E. 17th Avenue
Spokane, WA 99223 - Phone
- (509) 838-8066
- Fax
- (800) 594-8305
- Organisation at this address
- Greenleaf Psychology
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC0700X
103T00000X
103TB0200X
103TC2200X
103TH0004X
103TH0100X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington