Individual
DONALD A LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA MA LSW
Contact information
Practice address
3690 ORANGE PL, SUITE 220, BEACHWOOD, OH 44122-4464
(216) 831-1494
Mailing address
153 E MAIN ST, NORWALK, OH 44857-1899
(419) 668-7628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X 5.0031124
OH
103T00000X
Psychologist
1041C0700X 5.0031124
OH
103TB0200X
Cognitive & Behavioral Psychologist
1041C0700X 5.0031124
OH
103TC1900X
Counseling Psychologist
1041C0700X 5.0031124
OH
103TP2701X
Group Psychotherapy Psychologist
1041C0700X 5.0031124
OH
1041C0700X
Clinical Social Worker
Primary
1041C0700X 5.0031124
OH
Other
Enumeration date
08/18/2006
Last updated
09/11/2025
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