Individual
DAWN MARIE LEEDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCP
Contact information
Practice address
405 KAYS DR, STE B, NORMAL, IL 61761-1979
(309) 862-0064
(309) 862-1542
Mailing address
405 KAYS DR, STE B, NORMAL, IL 61761-1979
(309) 862-0064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11049
AZ
101YP2500X
Professional Counselor
Primary
180007287
IL
101YP2500X
Professional Counselor
LPC-11604
AZ
Other
Enumeration date
06/10/2009
Last updated
04/12/2010
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