Individual provider · Type 1 NPI
Tanya Latrell Lesane, LCMH
Mental Health Counselor · Joint Base Lewis0mcchord, WA
NPI number
1245891019
Active
Practice location
9924B W. Johnson St
Joint Base Lewis0mcchord, WA 98433
Mailing address
4115 Sawtooth Ct
Gig Harbor, WA 98332-5125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MC60884547 (WA) |
Mental Health Counselor: Definition to come...
About NPI 1245891019
Tanya Latrell Lesane, LCMH's National Provider Identifier is 1245891019, issued on Jun 24, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Joint Base Lewis0mcchord, WA. The record was last updated on Jun 24, 2019.