Most Relevant Information
Provider Data
| NPI Number: | 1003256231 |
| Provider Name: | LEANNE MAYLENE HAKE CADCII |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | RW5154 |
Most Important Dates
| Enumeration Date: | 07/02/2013 |
| Last Updated: | 08/07/2023 |
Provider Practice Location
1950 WAITE ST
NORTH BEND
OR
974591228
Practice Location Phone/Fax
| Phone: | 5412660020 |
| Fax: |
Provider Mailing Location
1950 WAITE ST
NORTH BEND
OR
974591228
Provider Mailing Phone/Fax
| Phone: | 5416220020 |
| Fax: |