Provider Demographics
NPI:1225287212
Name:OCHIENG, LEIGH KATE
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:KATE
Last Name:OCHIENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 PINE ST APT 107
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-2260
Mailing Address - Country:US
Mailing Address - Phone:720-584-8055
Mailing Address - Fax:303-957-2251
Practice Address - Street 1:615 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211
Practice Address - Country:US
Practice Address - Phone:720-584-8055
Practice Address - Fax:303-957-2251
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor