Individual
ALLISON KAY LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3107 TREYBURN LN, MANSFIELD, TX 76084-1141
(314) 750-2330
Mailing address
3107 TREYBURN LN, MANSFIEL, TX 76084-1141
(314) 750-2330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
90105
TX
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
2013018120
MO
Other
Enumeration date
08/09/2021
Last updated
06/15/2023
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