Provider Demographics
NPI:1851726210
Name:O'BRIEN, LEANNA MARIE (MS LMHC)
Entity Type:Individual
Prefix:
First Name:LEANNA
Middle Name:MARIE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 S FREYA ST STE 314B
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-6206
Mailing Address - Country:US
Mailing Address - Phone:509-255-3161
Mailing Address - Fax:
Practice Address - Street 1:104 S FREYA ST STE 314B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-6206
Practice Address - Country:US
Practice Address - Phone:509-255-3161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60639044101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1851726210Medicaid