Individual
KERRON ANDREW LEACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
16211 N MAY AVE STE 126, EDMOND, OK 73013-8871
(405) 999-3384
(405) 963-4420
Mailing address
13312 NORTHSTAR DR, OKLAHOMA CITY, OK 73142-4307
(405) 513-2342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC06329
OK
Other
Enumeration date
05/21/2010
Last updated
07/18/2024
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