Individual
KIRSTIN MARIE LIEBEZEIT-PAUL
Active
Individual
KIRSTIN MARIE LIEBEZEIT-PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
12606
CO
103T00000X
Psychologist
2518
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046H1
BCBS
NC
01
—
12606
LICENSE
CO
05
—
6107091
—
NC
Enumeration date
09/28/2006
Last updated
10/31/2023
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