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Individual

JUDITH M LEIBOVITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATR, LPC

Contact information

Practice address
500 KIMBARK ST STE 200, LONGMONT, CO 80501-5585
(303) 651-1515
Mailing address
4086 GREENBRIAR BLVD, BOULDER, CO 80305-7047
(414) 517-3999

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0020401
CO

Other

Enumeration date
02/29/2024
Last updated
02/29/2024
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