Leistiko, Sandie
Leistiko, Sandie is an sole proprietor health care provider with primary practice located at 1404 Central Ave S Suite 113, Kent WA 98032-7433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leistiko, Sandie can be contacted via phone (253) 876-7620.Contact Information
Primary practice address
1404 Central Ave S Suite 113
Kent WA 98032-7433
Phone: (253) 876-7620
Fax: (253) 876-7621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | RC00042775 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60073152 | Washington |
Profile Details
| NPI number | 1336201730 |
|---|---|
| LBN Legal business name | Leistiko, Sandie |
| Credentials | MSW, MHP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2006 |
| Last updated | May 24th, 2021 - about 3 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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