Individual
MRS. MARY ANNE LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1095 3RD ST, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Mailing address
1095 3RD ST, MUSKEGON, MI 49441-1976
(231) 726-4735
(231) 722-0789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6401010946
MI
101YM0800X
Mental Health Counselor
Primary
6401010946
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712452
—
MI
Enumeration date
07/28/2008
Last updated
07/28/2008
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