Individual provider · Type 1 NPI

Crystal Lynnette Leavitt, LPC

Professional Counselor · Bend, OR

NPI number 1639745573 Active

Practice location

1001 SW Disk Dr Ste 250
Bend, OR 97702-3754

Fax (888) 461-3135

Mailing address

PO Box 5452
Bend, OR 97708-5452

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC7060 (OR)

Professional Counselor: Definition to come...

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About NPI 1639745573

Crystal Lynnette Leavitt, LPC's National Provider Identifier is 1639745573, issued on Jun 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bend, OR. The record was last updated on Oct 14, 2026.