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General NPI Number Information
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NPI Number | 1477058295
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Entity Type | Individual
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Provider Name | CRISTINA MARCELA LEON MS, LMHC, MHP
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Gender | Female
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Dates
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Enumeration Date | 03/25/2018
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 1400 COMMERCE AVE
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City | LONGVIEW
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State | WA
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Zip | 98632-3756
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Country | US
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Telephone | 360-998-2047
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Fax | 844-612-6673
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Provider Business Mailing Address
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Address Line | PO BOX 2394
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City | LONGVIEW
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State | WA
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Zip | 98632-8455
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Country | US
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Telephone | 360-200-5419
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Fax | 844-612-6673
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61209632
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License Number State | WA
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