Individual
CRISTY SUE LEONARD-RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
810 3RD ST STE 500, CARLTON, MN 55718-3700
(218) 384-7008
(651) 431-7679
Mailing address
810 3RD ST, CARLTON, MN 55718-3700
(218) 384-7008
(651) 431-7679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1133
NE
101YM0800X
Mental Health Counselor
Primary
CC03858
MN
Other
Enumeration date
02/19/2009
Last updated
01/29/2025
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