Individual provider · Type 1 NPI

Theresa A. Bruner-Leydens, LPC

Professional Counselor · Kenosha, WI

NPI number 1447581715 Active

Practice location

4039 80th St, Suite D
Kenosha, WI 53142-4959

Call (262) 657-5026 Map

Fax (262) 657-5663

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3187-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1447581715

Theresa A. Bruner-Leydens, LPC's National Provider Identifier is 1447581715, issued on Jan 26, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenosha, WI. The record was last updated on Jan 26, 2010.