Individual
CHRIS LARRY LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1425 W MAIN ST, WALNUT RIDGE, AR 72476-1431
(870) 886-5303
(870) 886-7002
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6868
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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