Individual
JEREMY LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LMFT, CADCI
Contact information
Practice address
2620 REGATTA DR, SUITE 102, LAS VEGAS, NV 89128-6891
(702) 769-7441
Mailing address
9120 SILK THREADS AVE, LAS VEGAS, NV 89149-0609
(702) 769-7441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10761
NV
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
01324
NV
Other
Enumeration date
02/06/2013
Last updated
06/16/2015
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