Individual
DR. JOHN FANNIN LECKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95696-1800
(707) 448-6841
Mailing address
PO BOX 4413, DAVIS, CA 95617-4413
(530) 220-4757
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
30801
CA
Other
Enumeration date
10/27/2005
Last updated
12/12/2022
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