Individual
MR. MICHAEL LEE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHP, LADC
Contact information
Practice address
115 W RAILWAY ST, STE A-116, SCOTTSBLUFF, NE 69361-3177
(308) 635-2800
(308) 635-2801
Mailing address
115 W RAILWAY ST, SUITE A-116, SCOTTSBLUFF, NE 69361-3177
(308) 635-2800
(308) 635-2801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
487
NE
101YM0800X
Mental Health Counselor
Primary
2172
NE
101YP2500X
Professional Counselor
1224
NE
Other
Enumeration date
03/11/2008
Last updated
04/10/2014
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