Courtney P Leazer, LCDC, LPC
Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).
NPI number1316575475
StatusActive
Last updated in NPPESJan 29, 2025
Details
- NPI
- 1316575475
- Entity type
- Individual (NPI-1)
- Name
- Courtney P Leazer
- Credential
- LCDC, LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2020
- Certification date
- Jan 29, 2025
- Last updated
- Jan 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 83074 | TX | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 15197 | TX |
Practice location
3840 Hulen StFort Worth, TX 76107-7277
Phone 817-335-3022
Mailing address
3840 Hulen StFort Worth, TX 76107-7277
Phone 817-569-4300
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