Individual
CAROLYN SUE LEIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
(509) 456-5710
Mailing address
PO BOX 4627, SPOKANE, WA 99220-0627
(509) 456-5465
(509) 456-5710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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