Healthcare Provider Details

I. General information

NPI: 1902712912
Provider Name (Legal Business Name): LEINA L SINICROPE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2732 GRAND AVE
EVERETT WA
98201-3416
US

IV. Provider business mailing address

11627 AIRPORT RD STE B
EVERETT WA
98204-8714
US

V. Phone/Fax

Practice location:
  • Phone: 425-259-5842
  • Fax:
Mailing address:
  • Phone: 425-864-5226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDPT.CO.70092627
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: