Individual
LEAH ANN MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC-8805
Contact information
Practice address
1015 GAMMON LN, MADISON, WI 53719-2210
(208) 736-7090
(208) 736-7089
Mailing address
1773 RUSTIC DR, SUN PRAIRIE, WI 53590-3078
(801) 564-4393
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11095-125
WI
101YM0800X
Mental Health Counselor
LCPC-8005
ID
Other
Enumeration date
10/12/2017
Last updated
07/31/2024
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