Individual
LEANNE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
(206) 461-3614
Mailing address
11000 LAKE CITY WAY NE, SEATTLE, WA 98125-6748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
CG60730394
WA
Other
Enumeration date
01/23/2017
Last updated
09/17/2019
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