Individual
MRS. ANGELA GRACE LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6511 WALNUT HILL LN, DALLAS, TX 75230-5318
(318) 381-7163
Mailing address
6511 WALNUT HILL LN, DALLAS, TX 75230-5318
(318) 381-7163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75201
TX
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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