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Individual

CRAIG MAYNOR LEECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, LPC

Contact information

Practice address
151 EDGEWOOD DR, CHAPIN, SC 29036-8154
(813) 494-2226
Mailing address
9329 MANDRAKE CT, TAMPA, FL 33647-3290
(813) 494-2226

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 10230
FL
101YP2500X
Professional Counselor
9733
SC

Other

Enumeration date
01/06/2011
Last updated
07/08/2024
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