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Contact Information

LEORA GWIN, HS-BCP, CADC, CPS
2802 BROADWAY
EVERETT, WA98201-3642
 Phone: 452-259-3191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for LEORA GWIN · (Female)

NPI Number 1104681642
Status Active
Credentials HS-BCP, CADC, CPS
Entity Individual
Enumeration date 02/14/2024
Last updated 02/14/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • License # CADC-22496
  • NC License # CPS-20143
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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