Individual
STANLEY LEROY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4820 SHE NAH NUM DR SE, OLYMPIA, WA 98513
(360) 413-2727
(360) 455-4620
Mailing address
4820 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
(360) 413-2727
(360) 455-4620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
07/27/2018
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