Organization
LEACH PUBLIC SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY REYNOLDS (SUPERINTENDENT)
(918) 868-2277
Entity
Organization
Contact information
Practice address
55979 S 530 RD, ROSE, OK 74364-1665
(918) 868-2277
Mailing address
55979 S 530 RD, ROSE, OK 74364-1665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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