Individual
MELISSA KAYE LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 W 4TH ST, WILLOW SPRINGS, MO 65793-1118
(417) 469-3260
(417) 469-5127
Mailing address
215 W 4TH ST, WILLOW SPRINGS, MO 65793-1118
(417) 469-3260
(417) 469-5127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8868
MO
101YM0800X
Mental Health Counselor
2019009295
MO
101YP2500X
Professional Counselor
Primary
2019009295
MO
Other
Enumeration date
11/17/2015
Last updated
12/13/2024
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