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Shannon Marie Leupold, CPC
Peer Specialist in Olympia, Washington
NPI 1215624168

Shannon Marie Leupold is a Peer Specialist based in Tenino, WA. Shannon Marie Leupold practices in Olympia, WA and has the professional credentials of CPC. The NPI Number for Shannon Marie Leupold is 1215624168 and holds a License No. (Washington).

The current practice location address for Shannon Marie Leupold is 1011 10Th Ave Se, Olympia, WA and can be reached out via phone at 360-360-5366.

Location: 1011 10Th Ave Se, Olympia, WA, 98589-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215624168
Provider Name
Shannon Marie Leupold
Credential
CPC
Provider Entity Type
Individual
Gender
Female
Address
1011 10Th Ave Se, Olympia, WA, 98589-9516
Phone Number
360-360-5366
Fax Number
Provider Enumeration Date
04/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1011 10Th Ave Se
City
Olympia
State
Washington
Zip
98501-1566
Phone Number
360-360-5366
Fax Number
person
Provider Business Mailing Address Details
Address
1011 10Th Ave Se
City
Olympia
State
Washington
Zip
98501-1566
Phone Number
360-360-5366
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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