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MRS. LEANDRA LA RUE PETTERSON MS, CADC-I, DVTPP
NPI 1710795653
Counselor - Addiction (Substance Use Disorder) in Henderson, NV

Active since December 23, 2024
7 S WATER ST STE 1, HENDERSON, NV 89015(702) 568-5971 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Leandra La Rue Petterson Ms, Cadc-i, Dvtpp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LEANDRA LA RUE PETTERSON MS, CADC-I, DVTPP (NPI 1710795653) is an individual addiction (substance use disorder) provider in Henderson, Nevada, licensed in Nevada (07423-I) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1710795653
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LEANDRA LA RUE PETTERSONCredential: MS, CADC-I, DVTPP
Location Address7 S WATER ST STE 1Henderson, NV 89015-7213
Mailing Address2638 Wild Ambrosia AveHenderson, NV 89074-2891 · (602) 635-0466
Phone(702) 568-5971
Sole ProprietorYes
Enumeration DateDecember 23, 2024
NPPES CertifiedDecember 23, 2024
✔ NPI 1710795653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NV · 07423-I
7 S WATER ST STE 1, Henderson, NV 89015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leandra Petterson's NPI number?

The NPI number for Leandra Petterson is 1710795653. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Leandra Petterson located?

Leandra Petterson practices at 7 S Water St Ste 1, Henderson, NV 89015. The listed phone number is (702) 568-5971.

What is Leandra Petterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Leandra Petterson was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.