Individual
HEATHER L LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
429 GAMMON PL STE 200, MADISON, WI 53719-1053
(608) 824-7243
Mailing address
1821 ALGONQUIN DR, BARABOO, WI 53913-1228
(608) 225-7544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6682-123
WI
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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