Individual provider · Type 1 NPI

Shannon T. Leach, BA CMS

Counselor · Louisville, KY

NPI number 1942772074 Active

Practice location

4835 Poplar Level Rd Ste 110
Louisville, KY 40213-2906

Call (502) 443-5273 Map

Fax (502) 631-9660

Mailing address

11110 Little Spring Blvd
Louisville, KY 40291-5066

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1942772074

Shannon T. Leach, BA CMS's National Provider Identifier is 1942772074, issued on Dec 31, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Louisville, KY. The record was last updated on Dec 31, 2018.