Leistiko, Sandie

Leistiko, Sandie is an sole proprietor health care provider with primary practice located at 1404 Central Ave S Suite 113, Kent WA 98032-7433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Leistiko, Sandie can be contacted via phone (253) 876-7620.

Contact Information

Primary practice address
1404 Central Ave S Suite 113 Kent WA 98032-7433
Phone: (253) 876-7620
Fax: (253) 876-7621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X RC00042775 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW60073152 Washington

Profile Details

NPI number 1336201730
LBN Legal business name Leistiko, Sandie
Credentials MSW, MHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated May 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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