Individual
LEASHLEIGH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282
(318) 574-1232
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
(601) 218-4932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7245
LA
101YM0800X
Mental Health Counselor
Primary
9932
LA
171M00000X
Case Manager/Care Coordinator
7245
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396192969
—
LA
Enumeration date
05/24/2016
Last updated
10/21/2024
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