Individual
CRYSTAL LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, MSW
Contact information
Practice address
1100 WEST 2ND STREET, OSHKOSH, NE 69154-6152
(308) 772-3283
(308) 772-9916
Mailing address
1100 WEST 2ND STREET, OSHKOSH, NE 69154-6152
(308) 772-3283
(308) 772-9916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1077
NE
1041C0700X
Clinical Social Worker
1486
NE
Other
Enumeration date
06/23/2010
Last updated
10/10/2019
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