Provider Demographics
NPI:1871836239
Name:LEIGH, JAMIE REBECCA (LCSWA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:REBECCA
Last Name:LEIGH
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:MILLISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:38 ROSSCRAGGON RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1163
Mailing Address - Country:US
Mailing Address - Phone:336-813-3946
Mailing Address - Fax:
Practice Address - Street 1:38 ROSSCRAGGON RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1163
Practice Address - Country:US
Practice Address - Phone:336-813-3946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0079601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical