Individual
SUZANNE LEBOEUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1227 2ND ST., MARYSVILLE, WA 98270
(360) 651-2366
(360) 653-3119
Mailing address
1227 2ND ST., MARYSVILLE, WA 98270
(360) 651-2366
(360) 653-3119
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60475972
DEPARTMENT OF HEALTH
WA
Enumeration date
08/31/2012
Last updated
01/01/2015
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