Individual
MARILYN MARIE LEUENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LADC, MED AIDE
Contact information
Practice address
650 J ST, 100, LINCOLN, NE 68508-2900
(402) 435-4044
(402) 435-4051
Mailing address
650 J ST, 100, LINCOLN, NE 68508-2900
(402) 435-4044
(402) 435-4051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
127
NE
101YM0800X
Mental Health Counselor
Primary
2064
NE
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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