Individual
AMBER RENEE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
410 S WILBUR AVE, WALLA WALLA, WA 99362-3532
(509) 529-6036
Mailing address
410 S WILBUR AVE, WALLA WALLA, WA 99362-3532
(509) 529-6036
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61556834
WA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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