Individual
DEBORAH LYN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 467-2230
(585) 625-0843
Mailing address
1722 EMPIRE BLVD APT 86, WEBSTER, NY 14580-2142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34200
NY
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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