person
Dwight Austin Sergio De Leon, CP61215033
Addiction (Substance Use Disorder) Counselor in Spokane, Washington
NPI 1811537277

Dwight Austin Sergio De Leon is an Addiction (Substance Use Disorder) Counselor based in Spokane, WA and is specialized in Addiction (Substance Use Disorder). Dwight Austin Sergio De Leon practices in Spokane, WA and has the professional credentials of CP61215033. The NPI Number for Dwight Austin Sergio De Leon is 1811537277 and holds a License No. CP61215033 (Washington).

The current practice location address for Dwight Austin Sergio De Leon is 1302 W Gardner Ave, Spokane, WA and can be reached out via phone at 509-503-6010 and via fax at 509-474-9612.

Location: 1302 W Gardner Ave, Spokane, WA, 99209-1157
person
Provider Profile Details
NPI Number
1811537277
Provider Name
Dwight Austin Sergio De Leon
Credential
CP61215033
Provider Entity Type
Individual
Gender
Male
Address
1302 W Gardner Ave, Spokane, WA, 99209-1157
Phone Number
509-503-6010
Fax Number
509-474-9612
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1302 W Gardner Ave
City
State
Zip
99201-2059
Phone Number
509-503-6010
Fax Number
509-474-9612
person
Provider Business Mailing Address Details
Address
1302 W Gardner Ave
City
State
Zip
99201-2059
Phone Number
509-503-6010
Fax Number
509-474-9612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP61215033 (Washington)
Definition
Definition to come...
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