Individual
MRS. KELLI LEIDENHEIMER EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIT, NCC, LPC
Contact information
Practice address
660 N LOBDELL BLVD, BATON ROUGE, LA 70806-2971
(225) 924-0051
Mailing address
640 BIENVILLE ST, BATON ROUGE, LA 70806-5925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4461
LA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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