Most Relevant Information
Provider Data
| NPI Number: | 1003573700 |
| Provider Name: | LEAH HODGES CLINICIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/17/2021 |
| Last Updated: | 11/17/2021 |
Provider Practice Location
3857 MARTIN WAY E
OLYMPIA
WA
985065268
Practice Location Phone/Fax
| Phone: | 3607047170 |
| Fax: |
Provider Mailing Location
3857 MARTIN WAY E
OLYMPIA
WA
985065268
Provider Mailing Phone/Fax
| Phone: | 3607047170 |
| Fax: |