Leeann Lietz
Rehabilitation Counselor
726 Dover Pl
Champaign
, Illinois 61820-7032
Leeann Lietz
Rehabilitation Counselor
726 Dover Pl
Champaign
, Illinois 61820-7032
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Leeann Lietz
- 726 Dover Pl
- Champaign, IL
- Zip : 61820-7032
- Phone :
Second Address
- Leeann Lietz
- 726 Dover Pl
- Champaign, IL
- Zip : 61820-7032
- Phone : (217) 722-6733
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1235467986 |
|---|---|
| Provider Name | Leeann Lietz |
| First Address | Champaign, IL 61820-7032 |
| Second Address | Champaign, IL 61820-7032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/11/2009 |
| Last Update Date | 18/11/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.