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Individual

MELISSA RENEE LEACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 MUSTANG TRAIL, LAWRENCEBURG, KY 40342-1576
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
173986
KY
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30610026
KY
Enumeration date
05/04/2012
Last updated
12/08/2022
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