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Individual

DANIEL LEICHTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA.183185

Contact information

Practice address
117 N 4TH ST, IRONTON, OH 45638-1403
(606) 315-5094
(877) 325-2816
Mailing address
117 N 4TH ST, IRONTON, OH 45638-1403
(606) 315-5094
(877) 325-2816

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183185
OH
101YM0800X
Mental Health Counselor
QMHS
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008494
OH
Enumeration date
01/10/2023
Last updated
08/04/2023
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