MR. JOHNNY LEAKE II
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1588255194
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1588255194 is the National Provider Identifier for MR. JOHNNY LEAKE II, a Counselor - Addiction (Substance Use Disorder) provider located in Oklahoma City, OK. This NPI was enumerated on January 27, 2021.
MR. JOHNNY LEAKE II practices at 3621 N KELLEY AVE, Oklahoma City, OK 73111.
Quick Facts
- NPI
- 1588255194
- Type
- Individual
- Enumerated
- Jan 27, 2021
- Last Updated
- Jan 28, 2021
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