Provider Demographics
NPI:1902490246
Name:LEIGHTON, CASANDRA CHRISTINA (LMFT)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:CHRISTINA
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11167 KINSLEY ST
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-1803
Mailing Address - Country:US
Mailing Address - Phone:952-334-7744
Mailing Address - Fax:
Practice Address - Street 1:11167 KINSLEY ST
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-1803
Practice Address - Country:US
Practice Address - Phone:952-334-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist