Mark G Leach, LMHC
Counselor, Mental Health in Albany, NY. Individual provider (NPI-1).
NPI number1750893202
StatusActive
Last updated in NPPESOct 24, 2017
Details
- NPI
- 1750893202
- Entity type
- Individual (NPI-1)
- Name
- Mark G Leach
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2017
- Last updated
- Oct 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 007541 | NY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 30777 | NY |
Practice location
4 Pine West Plz Ste 403Albany, NY 12205-5515
Phone 518-691-0732
Mailing address
128 Sharpe Rd Apt 1fWynantskill, NY 12198-2924
Phone 315-404-9517
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