Individual
LAUREN MARY LEITNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LCAS-A
Contact information
Practice address
132 POPLAR GROVE CONNECTOR, SUITE B, BOONE, NC 28607-5915
(828) 264-8759
Mailing address
284 EXECUTIVE PARK DRIVE, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2799-A
NC
106H00000X
Marriage & Family Therapist
Primary
1514
NC
Other
Enumeration date
01/09/2012
Last updated
07/31/2013
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