Individual
RYAN GABRIEL LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
2901 N TENAYA WAY STE 100, LAS VEGAS, NV 89128-1404
(702) 870-8852
Mailing address
9704 PANORAMA CLIFF DR, LAS VEGAS, NV 89134-6412
(702) 281-7926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MI4145
NV
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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