SUSAN LEAVITT

PROVO, UT
NPI1427223023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: UT  6732424-3501)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: UT  6732424-3503)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: UT  6732424-6006)
101YM0800X Counselor, Mental Health
(Licence: UT  6732424-3501)
Enumeration Date2008-04-24
Last Update Date2015-02-23
Business Address
-- SUSAN LEAVITT LCSW
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
-- SUSAN LEAVITT LCSW
750 N 200 W
PROVO, UT 84601-1677
Phone number: