Individual
MRS. LEANDRA LA RUE PETTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CADC-I, DVTPP
Contact information
Practice address
7 S WATER ST STE 1, HENDERSON, NV 89015-7213
(702) 568-5971
Mailing address
2638 WILD AMBROSIA AVE, HENDERSON, NV 89074-2891
(602) 635-0466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07423-I
NV
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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