Individual
DANIELLE RENEE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
104 W BROADWAY ST, WINCHESTER, KY 40391-1912
(859) 385-4669
Mailing address
104 W BROADWAY ST, WINCHESTER, KY 40391-1912
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L04-061-923
KY
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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