Provider Demographics
NPI:1669193835
Name:JOHN, MAGGI ELIZABETH
Entity type:Individual
Prefix:
First Name:MAGGI
Middle Name:ELIZABETH
Last Name:JOHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1119 W 7TH AVE APT B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-3126
Mailing Address - Country:US
Mailing Address - Phone:509-507-0515
Mailing Address - Fax:877-381-0182
Practice Address - Street 1:9507 N DIVISION ST STE M3
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1554
Practice Address - Country:US
Practice Address - Phone:503-877-3351
Practice Address - Fax:877-381-0182
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health