Provider Demographics
NPI:1821468315
Name:KAPLAN, LEAH (LPC)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 9TH ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-1709
Mailing Address - Country:US
Mailing Address - Phone:303-589-0212
Mailing Address - Fax:719-399-0880
Practice Address - Street 1:1503 YARMOUTH AVE
Practice Address - Street 2:SUITE 1503
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0564
Practice Address - Country:US
Practice Address - Phone:303-589-0212
Practice Address - Fax:719-399-0880
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional