MR. LEON EAGLE TAIL, MSW, CDP

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1780878694

Practice Address

224 N WILLOW RD
Spokane Valley, WA 99206

Phone: (509) 927-3837

Specialties

Specialty Code Primary License
Counselor 101Y00000X No RC00025859 (WA)
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes CP00004360 (WA)

Frequently Asked Questions

NPI 1780878694 is the National Provider Identifier for MR. LEON EAGLE TAIL, MSW, CDP, a Counselor - Addiction (Substance Use Disorder) provider located in Spokane Valley, WA. This NPI was enumerated on September 4, 2007.
MR. LEON EAGLE TAIL, MSW, CDP practices at 224 N WILLOW RD, Spokane Valley, WA 99206.

Quick Facts

NPI
1780878694
Type
Individual
Enumerated
Sep 4, 2007
Last Updated
Sep 4, 2007

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