Individual
MRS. LEANNE MAYLENE HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII
Contact information
Practice address
1950 WAITE ST, NORTH BEND, OR 97459-1228
(541) 266-0020
Mailing address
1950 WAITE ST, NORTH BEND, OR 97459-1228
(541) 622-0020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21-09-20104
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
RW5154
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/02/2013
Last updated
08/07/2023
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