Provider Demographics
NPI:1215082714
Name:WEGENKE SALKIN, LEE W (LMHC, CDP)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:W
Last Name:WEGENKE SALKIN
Suffix:
Gender:M
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 965
Mailing Address - Street 2:
Mailing Address - City:MEAD
Mailing Address - State:WA
Mailing Address - Zip Code:99021-0965
Mailing Address - Country:US
Mailing Address - Phone:509-299-0945
Mailing Address - Fax:
Practice Address - Street 1:521 N ARGONNE RD
Practice Address - Street 2:BLDG. B, SUITE 105
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2868
Practice Address - Country:US
Practice Address - Phone:509-299-0945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60289923101Y00000X
WA60289917101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)