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Individual
BETH L LEITMAN
Active
Individual
BETH L LEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LSAA, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00118411
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0168651
NM
101YM0800X
Mental Health Counselor
0169331
NM
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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