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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61215033 (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.