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NPI Code Detail

MEDICARE: JENNIFER N LEACH MA, MFT-I, CADC-I

MEDICARE:   JENNIFER N LEACH  MA, MFT-I, CADC-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor07581-INV
2101YA0400XAddiction (Substance Use Disorder) Counselor07638-IGNV
3106H00000XMarriage & Family TherapistMI4384NV

General Provider Information

NPI Number : 1326874272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER N LEACH MA, MFT-I, CADC-I
Provider Business Mailing Address
First Line : 801 OVERLAND LOOP
Second Line :
City : DAYTON
State : NV
Zip : 89403-8026
Country : US
Telephone Number : 775-241-2758
Fax Number :
Provider Business Practice Location Address
First Line : 801 OVERLAND LOOP
Second Line :
City : DAYTON
State : NV
Zip : 89403-8026
Country : US
Telephone Number : 775-241-2758
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2024
Last Update Date : 09/09/2024

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Directions to “ JENNIFER N LEACH MA, MFT-I, CADC-I” Practice Location

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