| Doctor Name: | LAUREN MARY LEITNER |
| NPI Number: | 1033489083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMFT, LCAS-A |
| License Number: | 2799-A |
| Business Practice Address: | 132 Poplar Grove Connector Suite B Boone, NC - 286075915 |
| Business Phone Number: | 8282648759 |
| Business Fax Number: | |
| Mailing Address: | 284 Executive Park Drive, Suite 100 CONCORD |
| State: | NC |
| Postal Code: | 280251894 |
| Phone Number: | 7049391100 |
| Fax Number: | 7049391173 |
| NPI Enumeration Date: | 01/09/2012 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2799-A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |