LEORA GWIN

EVERETT, WA
NPI1104681642
Other NameLEE GWIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence:   CADC-22496)
405300000X Prevention Professional
(Licence: NC  CPS-20143)
Enumeration Date2024-02-14
Last Update Date2024-02-14
Business Address
LEORA GWIN HS-BCP, CADC, CPS
2802 BROADWAY
EVERETT, WA 98201-3642
Phone number: 452-259-3191
Mailing Address
LEORA GWIN HS-BCP, CADC, CPS
1440 HARDING PL APT 616
CHARLOTTE, NC 28204-0046
Phone number: 882-861-2110