Individual
LEONARD JAMES IRVING SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
3407 S 253RD ST, KENT, WA 98032-9746
(253) 529-2511
Mailing address
3407 S 253RD ST, KENT, WA 98032-9746
(253) 529-2511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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