Provider Demographics
NPI:1750761862
Name:GROSHOFF, TESSA LYNN (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:TESSA
Middle Name:LYNN
Last Name:GROSHOFF
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:MRS
Other - First Name:TESSA
Other - Middle Name:LYNN
Other - Last Name:SWOBODA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:943 E. 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203
Mailing Address - Country:US
Mailing Address - Phone:509-838-8066
Mailing Address - Fax:800-594-8305
Practice Address - Street 1:3157 E. 17TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-5031
Practice Address - Country:US
Practice Address - Phone:509-838-8066
Practice Address - Fax:800-594-8305
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALM00010959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health