Individual
MS. ANASTASIA GRACE LEYPOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 MCPHERSON ST STE 2, NORTH BEND, OR 97459-3482
(541) 751-2508
(541) 751-2661
Mailing address
1975 MCPHERSON ST, STE 2, NORTH BEND, OR 97459-3482
(541) 751-2508
(541) 751-2661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2066
NE
101YP2500X
Professional Counselor
Primary
C3594
OR
Other
Enumeration date
04/21/2014
Last updated
10/27/2014
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