Individual
MICHAEL EDWARD LEYBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LPC,CACIII
Contact information
Practice address
4 MONTEBELLO RD., PUEBLO, CO 81001
(719) 546-6666
(719) 543-7764
Mailing address
513 E. 13TH ST., PUEBLO, CO 81001
(719) 546-6666
(719) 543-7764
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
506
CO
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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