Provider Demographics
NPI:1053953661
Name:HUGHES, ARIEL M (BA, SUDPT)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:M
Last Name:HUGHES
Suffix:
Gender:
Credentials:BA, SUDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15407 E MISSION AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99037-8527
Mailing Address - Country:US
Mailing Address - Phone:509-927-1543
Mailing Address - Fax:509-927-4761
Practice Address - Street 1:15407 E MISSION AVE STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99037-8527
Practice Address - Country:US
Practice Address - Phone:509-927-1543
Practice Address - Fax:509-927-4761
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61542242101YA0400X
WACQ61543700390200000X
WASC615803471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program