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Individual

JESSICA LEINBERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-IT, SAC-IT

Contact information

Practice address
115 5TH AVE S STE 507, LA CROSSE, WI 54601-4018
(608) 797-5679
Mailing address
537 E JEFFERSON ST, VIROQUA, WI 54665-1730
(608) 632-2291

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
WI
101YM0800X
Mental Health Counselor
WI
101YP2500X
Professional Counselor
Primary
WI

Other

Enumeration date
12/07/2017
Last updated
12/07/2017
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