Individual
CHANDON LECKRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MAADC II
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(812) 552-1772
Mailing address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3211
(812) 552-1772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MO
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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