Individual
JEFF LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 BAYOU CIR, BOSSIER CITY, LA 71112-4037
(318) 560-0145
(318) 675-0226
Mailing address
1800 BAYOU CIR, BOSSIER CITY, LA 71112-4037
(318) 560-0145
(318) 675-0226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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