Individual
LEAH JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LMHC, MA, LSAA3
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSA0215971
NM
101YP2500X
Professional Counselor
Primary
CTB-2022-0295
NM
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/09/2018
Last updated
02/02/2023
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