Individual
JON CURTIS LEYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHCA
Contact information
Practice address
8211 W JEFFERSON BLVD RM 300, FORT WAYNE, IN 46804-4796
(877) 594-9204
Mailing address
201 SOUTH ST, MONROE, IN 46772-9361
(260) 223-5927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001227A
IN
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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