Individual
MAIA JULIA LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LHMC, MHP
Contact information
Practice address
2826B NW 63RD ST, SEATTLE, WA 98107-2563
(425) 477-9567
Mailing address
2826B NW 63RD ST, SEATTLE, WA 98107-2563
(425) 477-9567
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH61201605
WA
101YP2500X
Professional Counselor
Primary
LH61201605
WA
Other
Enumeration date
05/28/2019
Last updated
10/25/2024
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