Individual
LEOPOLDO REYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 573-6275
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 573-6275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00006253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2276318
—
WA
Enumeration date
01/28/2016
Last updated
02/25/2025
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