Individual
MRS. CASSANDRA E LIPKA LEITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-5301
Mailing address
1726 KINGSLEY AVE STE 2, ORANGE PARK, FL 32073-4411
(904) 278-5644
(904) 278-5659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 10481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH10481
INSURANCE
FL
Enumeration date
11/29/2010
Last updated
06/11/2013
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