Individual
LEAH COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
1001 W BROADWAY STE E, FARMINGTON, NM 87401-5638
(505) 327-9194
(505) 443-8335
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-9149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477026706
—
NM
Enumeration date
01/09/2019
Last updated
12/30/2025
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