Individual provider · Type 1 NPI

Jordan Michele Lease, SUPDT

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1043179336 Active

Practice location

910 W Boone Ave
Spokane, WA 99201-5029

Mailing address

1409 E Hartson Ave Apt 2
Spokane, WA 99202-3376

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDPT.CO.70024575 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1043179336

Jordan Michele Lease, SUPDT's National Provider Identifier is 1043179336, issued on Jan 21, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Jan 21, 2026.