Individual provider · Type 1 NPI

Jessica Leake

Mental Health Counselor · Rock Hill, SC

NPI number 1689821928 Active

Practice location

223 E Main St, Suite 300
Rock Hill, SC 29730-4571

Call (803) 928-9600 Map

Fax (803) 329-7141

Mailing address

166 Dotson St
Rock Hill, SC 29732-2334

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1689821928

Jessica Leake's National Provider Identifier is 1689821928, issued on Aug 19, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rock Hill, SC. The record was last updated on Aug 19, 2008.