Individual
LEONARDO CELLA PUCHALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CG 60744554
Contact information
Practice address
515 W HARRISON ST STE 109, KENT, WA 98032-4403
(253) 856-9000
(253) 520-6647
Mailing address
515 W HARRISON ST STE 109, KENT, WA 98032-4403
(253) 856-9000
(253) 520-6647
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
60744554
WA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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