Individual
JAIDYN R LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N BROADWAY ST, PITTSBURG, KS 66762-3922
(620) 232-3228
Mailing address
710 N BROADWAY ST, PITTSBURG, KS 66762-3922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
05032
KS
Other
Enumeration date
02/05/2025
Last updated
05/21/2025
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