LEORA GWIN HS-BCP CADC CPS NPI 1104681642

NPI Information

NPI: 1104681642
Provider Name: LEORA GWIN, HS-BCP, CADC, CPS
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2802 BROADWAY
EVERETT, WA
ZIP 98201
Phone: (452) 259-3191
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Leora Gwin, HS-BCP, CADC, CPS is a mental health counselor in Everett, WA. Leora Gwin, HS-BCP, CADC, CPS NPI is 1104681642. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2802 BROADWAY
EVERETT, WA
ZIP 98201-642
Phone: (452) 259-3191

The enumeration date for this NPI number is 2/14/2024 and was last updated on 2/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CADC-22496		No
2	405300000X	Prevention Professional		CPS-20143	NORTH CAROLINA	No
3	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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