person
Carol Annette Leak
Addiction (Substance Use Disorder) Counselor in Tukwila, Washington
NPI 1780224360

Carol Annette Leak is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Carol Annette Leak practices in Tukwila, WA. The NPI Number for Carol Annette Leak is 1780224360 and holds a License No. CP61215945 (Washington).

The current practice location address for Carol Annette Leak is 6450 Southcenter Blvd, Tukwila, WA and can be reached out via phone at 206-466-5012 and via fax at 206-453-4404.

Location: 6450 Southcenter Blvd, Tukwila, WA, 98632-8486
person
Provider Profile Details
NPI Number
1780224360
Provider Name
Carol Annette Leak
Credential
Provider Entity Type
Individual
Gender
Female
Address
6450 Southcenter Blvd, Tukwila, WA, 98632-8486
Phone Number
206-466-5012
Fax Number
206-453-4404
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2382777448 05 NC
institution
Provider Business Practice Location Address Details
Address
6450 Southcenter Blvd
City
State
Zip
98188-2552
Phone Number
206-466-5012
Fax Number
206-453-4404
person
Provider Business Mailing Address Details
Address
6450 Southcenter Blvd
City
State
Zip
98188-2552
Phone Number
206-466-5012
Fax Number
206-453-4404
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP61215945 (Washington)
Definition
Definition to come...
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