Individual
JEFFREY PETER LEICHTMAN
Active
Individual
JEFFREY PETER LEICHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0000536
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923531
CO
1041S0200X
School Social Worker
187071
CO
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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