Most Relevant Information
Provider Data
| NPI Number: | 1003823824 |
| Provider Name: | JOHN J LEACH LCSW., CART |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 19462 |
Most Important Dates
| Enumeration Date: | 08/02/2006 |
| Last Updated: | 06/28/2023 |
Provider Practice Location
12416 HYMEADOW DR STE 207
AUSTIN
TX
787502283
Practice Location Phone/Fax
| Phone: | 8775191144 |
| Fax: | 2545191155 |
Provider Mailing Location
2031 WHITNEY BAY DR
ROCKWALL
TX
750872431
Provider Mailing Phone/Fax
| Phone: | 4693037000 |
| Fax: |