Dwight Austin Sergio De Leon, CP61215033
Dwight Austin Sergio De Leon, CP61215033 is an Addiction (Substance Use Disorder) Counselor in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2020.
- Licensed in
- WA
- In the registry since
- 2020
Practice location Address checks out
1302 W Gardner AveSpokane, WA 99201-2059
Phone: (509) 503-6010
Fax: (509) 474-9612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP61215033 (WA) |
|---|
Record details
| NPI number | 1811537277 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CP61215033 |
| Sole proprietor | No |
| NPI enumerated | January 13, 2020 |
| Last updated in NPPES | February 2, 2024 |
| Certification date | February 2, 2024 |
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