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NPI Code Detail

MEDICARE: CHARLOTTE LEITZMAN

MEDICARE: CHARLOTTE LEITZMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245192855
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLOTTE LEITZMAN
Provider Business Mailing Address
First Line : 66 MORRISVILLE PLZ
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-4482
Country : US
Telephone Number : 802-888-8320
Fax Number : 802-888-8136
Provider Business Practice Location Address
First Line : 66 MORRISVILLE PLZ
Second Line :
City : MORRISVILLE
State : VT
Zip : 05661-4482
Country : US
Telephone Number : 802-888-8320
Fax Number : 802-888-8136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ CHARLOTTE LEITZMAN ” Practice Location

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