Individual
JACQUELYN OLSON LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMHC
Contact information
Practice address
2301 W. 1ST STREET, STE 4, ANKENY, IA 50023
(515) 508-1150
(515) 964-0106
Mailing address
1622 LAKEVIEW DRIVE, PLEASANT HILL, IA 50327
(515) 564-9071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
093303
IA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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