Doctor Name: | MR. PETER JOHN LEFEAU |
NPI Number: | 1366623456 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S.W. |
License Number: | RC00042547 |
Business Practice Address: | 113 170th St S Spanaway, WA - 983878222 |
Business Phone Number: | 2535351935 |
Business Fax Number: | |
Mailing Address: | 9330 59th Ave Sw, LAKEWOOD |
State: | WA |
Postal Code: | 984992858 |
Phone Number: | 2535817020 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2007 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | RC00042547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |