Provider Demographics
NPI:1407089063
Name:VAN DYKE, LEIGH ANN (MS LPCC)
Entity type:Individual
Prefix:MRS
First Name:LEIGH ANN
Middle Name:
Last Name:VAN DYKE
Suffix:
Gender:F
Credentials:MS LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33064 ANASAZI DR
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-5889
Mailing Address - Country:US
Mailing Address - Phone:619-393-4999
Mailing Address - Fax:
Practice Address - Street 1:33064 ANASAZI DR
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-5889
Practice Address - Country:US
Practice Address - Phone:619-393-4999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010672101YP2500X
CALPC349101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional