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Individual
LEIGHELLEN BANE
Active
Individual
LEIGHELLEN BANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0002260
CO
104100000X
Social Worker
0009923313
CO
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
02/08/2026
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