Individual
DR. MICHAEL LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
296 E 5TH AVE STE 311, EUGENE, OR 97401-2783
(541) 912-4881
Mailing address
PO BOX 51240, EUGENE, OR 97405-0904
(541) 912-4881
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MH14074
CA
106H00000X
Marriage & Family Therapist
Primary
T0461
OR
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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