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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LEON DOUGLAS EAGLE TAIL, MSW, CDP

Active Sole Proprietor

MR. LEON DOUGLAS EAGLE TAIL, MSW, CDP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SPOKANE VALLEY, Washington. NPI 1780878694 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · SPOKANE VALLEY, WA

Registration Details

NPI Number
1780878694
Provider Type
Individual
Gender
Male
NPI Issued
Sep 4, 2007 (18.762084754151 yrs)
Last Updated
Sep 4, 2007
Licenses
RC00025859 (WA)
CP00004360 (WA)
Sole Proprietor
Yes

Practice Information

Address
224 N WILLOW RD
SPOKANE VALLEY, WA, 992066812
Browse WA providers · Browse ZIP 99206
Phone
5099273837

Other Addiction (Substance Use Disorder) Counselor Providers in SPOKANE VALLEY, WA

Name Credential NPI
MS. STEPHANIE MARIE MCGREGOR SUDP 1437351277
MS. EILEEN SHERYL DAVIS CDP, RC 1588805154
GARY A WORTHINGTON 1700018918
MR. DARREL R STARTIN JR. BA, CDP 1699079301
MR. MITCHELL LEE LYKINS SUDP 1811253826
LISA F PARKER SUDP 1467890269
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.