Individual
JAMIE LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 2ND AVE, STERLING, IL 61081-3699
(815) 626-8760
Mailing address
866 HANN AVE, DIXON, IL 61021-9020
(815) 499-4890
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.007619
IL
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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