Stacey Leach

NPI #1609341551 in Bishop, California

Provider Information

NPI Number: 1609341551
Entity Type: Individual
Name: Stacey Leach
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Oct 8, 2018
Last Updated: Oct 8, 2018

Practice Location

Address: 162J GROVE ST
City: Bishop
State: California
ZIP Code: 93514-2640
Phone: (760) 873-6533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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