Individual
MRS. LEILANI RAY CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
1949 SUGARLAND DR STE 250, SHERIDAN, WY 82801-5764
(307) 242-1472
(307) 624-6254
Mailing address
1949 SUGARLAND DR STE 250, SHERIDAN, WY 82801-5764
(719) 964-0833
(307) 624-6254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
240
HI
106H00000X
Marriage & Family Therapist
Primary
254
WY
106H00000X
Marriage & Family Therapist
913
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14924323
—
CO
Enumeration date
06/03/2010
Last updated
11/11/2024
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