Individual
LEAH MARIE WASICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7400 E ARAPAHOE RD, CENTENNIAL, CO 80112-1279
(303) 741-1077
(303) 741-1078
Mailing address
677 E EISENHOWER BLVD, LOVELAND, CO 80537-3919
(303) 620-6909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5635
CO
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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