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Individual

ANNIE M LEICHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3499 10TH ST, RIVERSIDE, CA 92501-3617
(951) 441-5542
(951) 358-4189
Mailing address
3499 10TH ST, RIVERSIDE, CA 92501-3617
(951) 441-5542

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/23/2009
Last updated
06/26/2025
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