Individual
NATHAN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1000 N PASEO DE ONATE, ESPANOLA, NM 87532-2683
(505) 983-6158
Mailing address
5 SE 69TH AVE, PORTLAND, OR 97215-1336
(623) 308-2472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2025-0335
NM
Other
Enumeration date
03/06/2020
Last updated
06/14/2025
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