Individual
MR. BURDETTE O LEIKVOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10559 N 99TH AVE, PEORIA, AZ 85345-5413
(623) 974-0357
(623) 974-0399
Mailing address
10559 N 99TH AVE, PEORIA, AZ 85345-5413
(623) 974-0357
(623) 974-0399
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0331
AZ
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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