Individual
MRS. KATHERINE HELEN LEIBSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
16535 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005-5936
(262) 789-1191
Mailing address
155 N 90TH ST, MILWAUKEE, WI 53226-4509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
3140-123
WI
106H00000X
Marriage & Family Therapist
491-124
WI
Other
Enumeration date
08/21/2006
Last updated
02/17/2025
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