Individual
LAURA LESTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8463
(360) 681-8465
Mailing address
PO BOX 3175, SEQUIM, WA 98382-5011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60701375
WA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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