Individual
GARY L LENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.M.H.N.P.
Contact information
Practice address
1520 KELLY PL, SUITE 234, WALLA WALLA, WA 99362-8607
(509) 522-4000
(509) 522-5290
Mailing address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
(509) 225-6313
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
200350053NP PMHNP-PP
OR
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
AP60426528
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457301491
—
WA
05
—
223347
—
OR
Enumeration date
05/11/2006
Last updated
02/24/2015
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