MS. Leesa M Phaneuf-Reynolds, MA, MSW, LSWAIC
NPI #1396167060 in Walla Walla, Washington
Provider Information
- NPI Number
- 1396167060
- Entity Type
- Individual
- Name
- MS. Leesa M Phaneuf-Reynolds, MA, MSW, LSWAIC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MA, MSW, LSWAIC
- Enumeration Date
- Jan 14, 2014
- Last Updated
- Oct 2, 2016
Practice Location
- Address
- 30 W MAIN ST
- Address 2
- SUITE 305
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2872
- Phone
- (509) 460-7206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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