Individual provider · Type 1 NPI
Carol Annette Leak
Addiction (Substance Use Disorder) Counselor · Tukwila, WA
NPI number
1780224360
Active
Practice location
6450 Southcenter Blvd
Tukwila, WA 98188-2552
Fax (206) 453-4404
Mailing address
PO Box 2429
Longview, WA 98632-8486
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP61215945 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1780224360
Carol Annette Leak's National Provider Identifier is 1780224360, issued on Jan 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tukwila, WA. The record was last updated on Oct 31, 2023.