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Individual

MRS. LEIGH CHURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC,CPC

Contact information

Practice address
325 E LIBERTY ST, RENO, NV 89501-2212
(775) 322-6604
(775) 828-9815
Mailing address
325 E LIBERTY ST, RENO, NV 89501-2212
(775) 322-6604
(775) 828-9815

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
514-L
NV
101YP2500X
Professional Counselor
Primary
CP0055
NV

Other

Enumeration date
09/04/2007
Last updated
02/16/2012
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