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Jordan Michele Lease, SUPDT

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI 1043179336 · NPPES record last updated Jan 21, 2026

Key facts

NPI
1043179336
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
CDPT.CO.70024575 (WA)
Practice address
910 W Boone Ave
Spokane, WA 99201-5029
Phone
(509) 325-7232
NPI assigned
Jan 21, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CDPT.CO.70024575WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Human Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDPT.CO.70024575 WA Yes

Addresses

Primary practice location

910 W Boone Ave
Spokane, WA 99201-5029

Mailing address

1409 E Hartson Ave Apt 2
Spokane, WA 99202-3376
Phone (509) 944-0958

Other providers in Spokane, WA

All providers in Spokane, WA · Addiction (Substance Use Disorder) Counselor in Washington

Sources for this page

Verify at the official NPI Registry.