Individual
MR. ANTONIO BERNARD LEVERETTE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 VETERANS DR SW, A-116-148, TACOMA, WA 98493-5000
(253) 583-2829
(253) 589-4042
Mailing address
9600 VETERANS DR SW, A-116-148, TACOMA, WA 98493-5000
(253) 583-2829
(253) 589-4042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
V010203.
WA
Other
Enumeration date
02/01/2013
Last updated
10/19/2020
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