Individual
LESLIE LANE DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8645 MARTIN WAY E, LACEY, WA 98516-5851
(306) 556-5859
Mailing address
8645 MARTIN WAY E, LACEY, WA 98516-5851
(306) 556-5859
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60851807
WA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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