Individual
MR. MARC ALLEN LEIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LMFT
Contact information
Practice address
125 CHENOWETH LN, SUITE 308, LOUISVILLE, KY 40207-2641
(502) 895-3388
Mailing address
125 CHENOWETH LN, SUITE 308, LOUISVILLE, KY 40207-2641
(502) 895-3388
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0505
KY
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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