Provider Demographics
NPI:1346652633
Name:USERY, LEAH
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:USERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 HELEN ST
Mailing Address - Street 2:
Mailing Address - City:SAULT S MARIE
Mailing Address - State:MI
Mailing Address - Zip Code:49783-2224
Mailing Address - Country:US
Mailing Address - Phone:210-831-6985
Mailing Address - Fax:
Practice Address - Street 1:215 ASHMUN ST STE B
Practice Address - Street 2:
Practice Address - City:SAULT S MARIE
Practice Address - State:MI
Practice Address - Zip Code:49783-1915
Practice Address - Country:US
Practice Address - Phone:210-831-6985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW4475101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health