| Dwight Austin Sergio De Leon, CP61215033 | |
|
1302 W Gardner Ave, Spokane, WA 99201-2059 | |
| (509) 503-6010 | |
| (509) 474-9612 |
| Full Name | Dwight Austin Sergio De Leon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1302 W Gardner Ave, Spokane, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811537277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP61215033 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight Austin Sergio De Leon, CP61215033 Po Box 10157, Spokane, WA 99209-1157 Ph: (503) 702-8454 | Dwight Austin Sergio De Leon, CP61215033 1302 W Gardner Ave, Spokane, WA 99201-2059 Ph: (509) 503-6010 |
Kelli J George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1803 W Maxwell Ave, Spokane, WA 99201 Phone: 509-325-5502 | |
Ashlee Guckel, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 100 N Howard St Ste R, Spokane, WA 99201 Phone: 971-910-3182 | |
Anna Lisa Ochiltre, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2118 E Sprague Ave, Spokane, WA 99202 Phone: 509-838-4128 Fax: 509-838-4816 | |
Michael Robert Sullivan, MSW Counselor Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 | |
Simonne Marie Crooks, BA, SUDP, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 Fax: 509-532-2005 | |
Sandra Kay Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 Phone: 509-838-6092 | |
Laura Ann Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 Fax: 509-326-5025 |