Individual
LUTHER RAY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
WA
172V00000X
Community Health Worker
—
WA
175T00000X
Peer Specialist
Primary
—
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
WA
261QM0850X
Adult Mental Health Clinic/Center
—
WA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
WA
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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