Individual
JAMIE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
711 BRADLEY DR, MOUNTAIN HOME, AR 72653-2733
(870) 340-2636
Mailing address
810 WAVERLY RD, MOUNTAIN HOME, AR 72653-4126
(870) 656-6076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8211-M
AR
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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