Individual provider · Type 1 NPI

Ian Leupold

Counselor · Coos Bay, OR

NPI number 1194296178 Active

Practice location

2020 Thompson Rd
Coos Bay, OR 97420-2041

Call (541) 267-3511 Map

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194296178

Ian Leupold's National Provider Identifier is 1194296178, issued on Dec 17, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Coos Bay, OR. The record was last updated on Dec 17, 2018.