Individual
AMANDA LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Mailing address
1425 STARR AVE, TOLEDO, OH 43605-2456
(419) 693-0631
(419) 936-7606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2607829-TRNE
OH
163W00000X
Registered Nurse
Primary
RN.337851
OH
Other
Enumeration date
12/08/2022
Last updated
05/27/2026
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