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General NPI Number Information
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NPI Number | 1831404839
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Entity Type | Individual
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Provider Name | SIOBHON MARIE LEUSCHNER BS, MS, LMHC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 9100 S DADELAND BLVD STE 15006
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City | MIAMI
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State | FL
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Zip | 33156-7814
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Country | US
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Telephone | 386-466-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 10775 PIONEER TRL STE 215
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City | TRUCKEE
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State | CA
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Zip | 96161-0234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH18609
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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