Doctor Name: | MRS. GRETCHEN LEU |
NPI Number: | 1033237011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCC |
License Number: | E0007498 |
Business Practice Address: | 836 W South Boundary St Perrysburg, OH - 435515200 |
Business Phone Number: | 4198743201 |
Business Fax Number: | 4198741989 |
Mailing Address: | 836 W South Boundary St, PERRYSBURG |
State: | OH |
Postal Code: | 435515200 |
Phone Number: | 4198743201 |
Fax Number: | 4198741989 |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E0007498 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |