Individual
MARY LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 60406354
Contact information
Practice address
600 N 130TH ST, SEATTLE, WA 98133-7946
(206) 223-1300
Mailing address
600 N 130TH ST, SEATTLE, WA 98133-7946
(206) 223-1300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60406354
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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