Individual
JOHN M. LEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CSAC
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5048
Mailing address
PO BOX 97, SAINT PAUL, AR 72760-0097
(479) 677-3390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1460
NC
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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