Individual
RACHEL MARIE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, SAC-IT
Contact information
Practice address
600 W VIRGINIA ST, STE 203, MILWAUKEE, WI 53204-1500
(414) 831-4500
Mailing address
4105 N ARDMORE AVE APT 5, MILWAUKEE, WI 53211-1805
(920) 912-0067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14152-130
WI
101YP2500X
Professional Counselor
Primary
4401-125
WI
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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