Individual provider · Type 1 NPI
Leesa M. Phaneuf-Reynolds, MA, MSW, LSWAIC
Mental Health Counselor · Walla Walla, WA
NPI number
1396167060
Active
Practice location
30 W Main St, Suite 305
Walla Walla, WA 99362-2872
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | SC60412135 (WA) |
Mental Health Counselor: Definition to come...
4 other providers at this address
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- Rose Amara Pokrifchak, MA, LMHCMental Health Counselor Walla Walla, WA NPI 1013205020
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- Marissa Lynn CosaertMental Health Counselor Walla Walla, WA NPI 1023975612
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- Dewann Bach, B.A.Mental Health Counselor Walla Walla, WA NPI 1043508815
About NPI 1396167060
Leesa M. Phaneuf-Reynolds, MA, MSW, LSWAIC's National Provider Identifier is 1396167060, issued on Jan 14, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Walla Walla, WA. The record was last updated on Oct 2, 2016.