Individual
CRYSTAL BYERS LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2408 SUSANNAH ST, JOHNSON CITY, TN 37601-1732
(423) 434-6677
Mailing address
2408 SUSANNAH ST, JOHNSON CITY, TN 37601-1732
(423) 434-6677
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000-1406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000-1406
CERTIFIED PEER RECOVERY SPECIALIST
TN
Enumeration date
05/06/2021
Last updated
05/06/2021
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