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General NPI Number Information
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NPI Number | 1144597311
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Entity Type | Individual
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Provider Name | GALELA ANN LECKIE MCP LPC
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Gender | Female
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 116 W 7TH AVE STE 222
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City | STILLWATER
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State | OK
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Zip | 74074-4050
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Country | US
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Telephone | 918-225-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E LAHARPE ST
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City | KIRKSVILLE
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State | MO
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Zip | 63501-4520
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC05392
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License Number State | OK
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