Individual
LESLIE MAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 S TACOMA WAY, TACOMA, WA 98409-3134
(253) 300-7474
Mailing address
15 OREGON AVE STE 308, TACOMA, WA 98409-7462
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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