Individual provider · Type 1 NPI

Willie Leak, CASAC

Addiction (Substance Use Disorder) Counselor · Poestenkill, NY

NPI number 1255805602 Active

Practice location

485 Snake Hill Rd
Poestenkill, NY 12140-3319

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

About NPI 1255805602

Willie Leak, CASAC's National Provider Identifier is 1255805602, issued on Jan 18, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Poestenkill, NY. The record was last updated on Sep 29, 2026.