Individual
MS. JENNIFER A LEVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC, LIMHP
Contact information
Practice address
14679 230TH ST, COUNCIL BLUFFS, IA 51503-7223
(712) 314-3326
Mailing address
14679 230TH ST, COUNCIL BLUFFS, IA 51503-7223
(712) 314-3326
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2612
NE
101YM0800X
Mental Health Counselor
3298
NE
101YM0800X
Mental Health Counselor
Primary
961
IA
251S00000X
Community/Behavioral Health Agency
15634
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5707373
—
IA
Enumeration date
01/05/2007
Last updated
07/18/2024
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