Individual
CYNTHIA LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, M.S., LMFT
Contact information
Practice address
4714 COMMERCE VALLEY RD, SUITE B, EAU CLAIRE, WI 54701-9033
(715) 834-1000
(715) 834-1170
Mailing address
4714 COMMERCE VALLEY RD, SUITE B, EAU CLAIRE, WI 54701-9033
(715) 834-1000
(715) 834-1170
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
596-124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43812100
—
WI
Enumeration date
01/03/2007
Last updated
07/09/2007
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