Individual
DAVID LEADBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSAA
Contact information
Practice address
1311 N GRANT ST STE A, SILVER CITY, NM 88061-5134
(757) 388-1447
(575) 388-1447
Mailing address
1113 N GRANT ST STE A, SILVER CITY, NM 88061-5130
(575) 388-1447
(575) 388-1447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0176001
NM
101YM0800X
Mental Health Counselor
Primary
CMH0219691
NM
Other
Enumeration date
12/06/2013
Last updated
11/29/2023
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