Individual
ANTHONY O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
3285 FERGUSON STREET SW, TUMWATER, WA 98512
(360) 943-1907
Mailing address
PO BOX 14339, TUMWATER, WA 98511-4339
(360) 943-1907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LH00004150
PROFESSIONAL LICENSE
WA
Enumeration date
07/12/2019
Last updated
11/27/2023
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