Eagle Tail, Leon Douglas

Eagle Tail, Leon Douglas is an sole proprietor health care provider with primary practice located at 224 N Willow Rd , Spokane Valley WA 99206-6812. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Eagle Tail, Leon Douglas can be contacted via phone (509) 927-3837.

Contact Information

Primary practice address
224 N Willow Rd Spokane Valley WA 99206-6812
Phone: (509) 927-3837
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00025859 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00004360 Washington

Profile Details

NPI number 1780878694
LBN Legal business name Eagle Tail, Leon Douglas
Credentials MSW, CDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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