Provider Demographics
NPI:1285015339
Name:MCMORRIS, IRA (LMHC, CDP, MHP)
Entity type:Individual
Prefix:
First Name:IRA
Middle Name:
Last Name:MCMORRIS
Suffix:
Gender:M
Credentials:LMHC, CDP, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 W NORTH RIVER DR STE 518
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2262
Mailing Address - Country:US
Mailing Address - Phone:509-362-0378
Mailing Address - Fax:
Practice Address - Street 1:201 W NORTH RIVER DR STE 518
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2262
Practice Address - Country:US
Practice Address - Phone:509-362-0378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60358558101YA0400X
WALH60524005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)