Individual
MS. CAROL LEAVENWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., LPC
Contact information
Practice address
673 GRANT ST, DENVER, CO 80203-3506
(303) 830-0905
(303) 830-0599
Mailing address
2032 S LOGAN ST, DENVER, CO 80210-4030
(303) 830-0905
(303) 830-0599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109
CO
Other
Enumeration date
01/04/2007
Last updated
11/05/2008
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