Individual
KIMBERLY A. G. LEICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1522 EAST US RTE 36, SUITE A, URBANA, OH 43078
(937) 653-5583
(937) 653-4787
Mailing address
PO BOX 817, WEST LIBERTY, OH 43357-0817
(937) 465-8065
(937) 465-0442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C.1100103-CR
OH
101YP2500X
Professional Counselor
E100103
OH
101YS0200X
School Counselor
OH 3092026
OH
Other
Enumeration date
10/29/2013
Last updated
01/25/2017
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