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JORDAN MICHELE LEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SUPDT

Contact information

Practice address
910 W BOONE AVE, SPOKANE, WA 99201-5029
(509) 325-7232
Mailing address
1409 E HARTSON AVE APT 2, SPOKANE, WA 99202-3376
(509) 944-0958

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.70024575
WA

Other

Enumeration date
01/21/2026
Last updated
01/21/2026
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