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General NPI Number Information
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NPI Number | 1427463934
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Entity Type | Individual
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Provider Name | LEONA LESTER MSW, LICSWA, CDPT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE SUITE 212
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City | TACOMA
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State | WA
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Zip | 98402-4446
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Country | US
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Telephone | 253-777-4772
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Fax |
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Provider Business Mailing Address
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Address Line | 2426 SW HOLDEN ST APT A
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City | SEATTLE
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State | WA
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Zip | 98106-1707
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CO60408106
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | SC60366961
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC60366961
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License Number State | WA
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