Individual
MR. LEONARD ROGER LIEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.ED
Contact information
Practice address
7010 E BOGARD RD, WASILLA, AK 99654-4711
(253) 797-9799
Mailing address
7010 E BOGARD RD, WASILLA, AK 99654-4711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0016543
CO
Other
Enumeration date
03/22/2021
Last updated
07/29/2024
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