Individual
LESLIE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
(206) 721-6288
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60131581
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QR0405X
—
WA
Enumeration date
02/05/2014
Last updated
10/28/2019
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