| Dawn Leedie, Lcpc. P.c. | |
|
1100 Beech St Bldg 10-4 Normal IL 61761-1568 | |
| (309) 434-0517 | |
| Not Available |
| Full Name | Dawn Leedie, Lcpc. P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1100 Beech St Bldg 10-4, Normal, Illinois |
| Authorized Official Name and Position | Dawn Leedie (PRESIDENT) |
| Authorized Official Contact | 3094340517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Leedie, Lcpc. P.c. 1100 Beech St Bldg 10-4 Normal IL 61761-1568 Ph: (309) 434-0517 | Dawn Leedie, Lcpc. P.c. 1100 Beech St Bldg 10-4 Normal IL 61761-1568 Ph: (309) 434-0517 |
| NPI Number | 1336865328 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336865328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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