Individual
LOUIS LEITENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMHT
Contact information
Practice address
200 COASTAL PAPER DR, WIGGINS, MS 39577-7000
(601) 385-6095
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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