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MS. CAROLYN A LEAVITT MA

Counselor

Cheyenne, Wyoming

Provider NPI: 1215936851

Provider Information:
MS. CAROLYN A LEAVITT MA
Gender: F
Not Sole Proprietor

Practice Location:
2310 E 8TH ST  CHEYENNE, WY 82001 US
Tel: 307-632-6435  Fax: 307-635-7982

Business Mailing Address:
2310 E 8TH ST  CHEYENNE, WY 82001 US
Tel: 307-632-6435  Fax: 307-635-7982

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
WY279

Other Provider Identifiers:

IssuerNumberStateType
BS313508WY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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