Individual
PHILLIP LEIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 734-5458
(360) 734-5298
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002751
WA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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