| Doctor Name: | MS. LEESA LARAINE DZURIS |
| NPI Number: | 1699956334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHP |
| License Number: | 2843 |
| Business Practice Address: | 316 Chicago Ave Suite #2 Plattsmouth, NE - 680481833 |
| Business Phone Number: | 4022964664 |
| Business Fax Number: | 4022964664 |
| Mailing Address: | Po Box 34367, OMAHA |
| State: | NE |
| Postal Code: | 681340367 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2007 |
| NPI Last Update Date: | 11/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2843 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |