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NPI Code Detail

MEDICARE: MR. KURT M LEONARD MSW, LICSWA, MHP

MEDICARE:  MR. KURT M LEONARD  MSW, LICSWA, MHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorWA

General Provider Information

NPI Number : 1730548876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KURT M LEONARD MSW, LICSWA, MHP
Provider Business Mailing Address
First Line : 9507 N DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1248
Country : US
Telephone Number : 509-466-0117
Fax Number :
Provider Business Practice Location Address
First Line : 9507 N DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1248
Country : US
Telephone Number : 509-466-0117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2016
Last Update Date : 02/17/2016

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Directions to “ MR. KURT M LEONARD MSW, LICSWA, MHP” Practice Location

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