Individual provider · Type 1 NPI

Anastasia Grace Leypoldt

Professional Counselor · North Bend, OR

NPI number 1285054072 Active

Practice location

1975 Mcpherson St Ste 2
North Bend, OR 97459-3482

Fax (541) 751-2661

Mailing address

1975 Mcpherson St, Ste 2
North Bend, OR 97459-3482

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC3594 (OR)
Mental Health Counselor 101YM0800X2066 (NE)

Professional Counselor: Definition to come...

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About NPI 1285054072

Anastasia Grace Leypoldt's National Provider Identifier is 1285054072, issued on Apr 21, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in North Bend, OR. The record was last updated on Oct 27, 2014.