Individual provider · Type 1 NPI
Dwight Austin Sergio De Leon, CP61215033
Addiction (Substance Use Disorder) Counselor · Spokane, WA
NPI number
1811537277
Active
Practice location
1302 W Gardner Ave
Spokane, WA 99201-2059
Fax (509) 474-9612
Mailing address
PO Box 10157
Spokane, WA 99209-1157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP61215033 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811537277
Dwight Austin Sergio De Leon, CP61215033's National Provider Identifier is 1811537277, issued on Jan 13, 2020. 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 Feb 2, 2024.