Provider Demographics
NPI:1134275225
Name:LEHTO, RONALD ALEX (MS, NCC)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:ALEX
Last Name:LEHTO
Suffix:
Gender:M
Credentials:MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-2316
Mailing Address - Country:US
Mailing Address - Phone:360-577-0266
Mailing Address - Fax:
Practice Address - Street 1:921 14TH AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-2316
Practice Address - Country:US
Practice Address - Phone:360-577-0266
Practice Address - Fax:360-577-0269
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3455101YM0800X
WA50391101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health