Individual
LEIGH ELLEN LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N MAIN ST, MUSKOGEE, OK 74401-4431
(918) 682-8407
Mailing address
6120 W 53RD ST S, MUSKOGEE, OK 74401-8828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
113833
OK
Other
Enumeration date
02/28/2007
Last updated
02/27/2025
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