Individual provider · Type 1 NPI

Kenneth Michael Leitza

Addiction (Substance Use Disorder) Counselor · Aurora, IL

NPI number 1972238608 Active

Practice location

120 Gale St
Aurora, IL 60506-5084

Mailing address

3677 Fletcher Ln
Aurora, IL 60506-7159

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972238608

Kenneth Michael Leitza's National Provider Identifier is 1972238608, issued on Jul 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Aurora, IL. The record was last updated on Jul 18, 2022.