Individual
BOBBI LEEDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 813-6672
Mailing address
6954 LA BOITEAUX AVE, CINCINNATI, OH 45239-4417
(513) 300-6078
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174925
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.178780
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161903
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469195
—
OH
Enumeration date
10/28/2021
Last updated
04/09/2025
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