Individual
MELINDA JEAN LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4261 PALO VERDE CT SW, LOS LUNAS, NM 87031-4324
(505) 220-1553
Mailing address
4261 PALO VERDE CT SW, LOS LUNAS, NM 87031-4324
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0123571
NM
Other
Enumeration date
12/13/2010
Last updated
07/17/2019
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