Leitzel, Mark S

Leitzel, Mark S is an individual health care provider with primary practice located at 40 2Nd Street East #212 , Kalispell MT 59901-0000. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Leitzel, Mark S can be contacted via phone (406) 756-0887.

Contact Information

Primary practice address
40 2Nd Street East #212 Kalispell MT 59901-0000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 920 Montana

Profile Details

NPI number 1477684835
LBN Legal business name Leitzel, Mark S
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477684835 NPPES
Montana MEDICAID 0252671
Montana Other 744473

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