Individual
KATIE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
(718) 299-5905
Mailing address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
(718) 299-5905
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22266
NY
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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