Thomas Leach, M.A.

Individual provider Active NPI Pastoral Counselor · Crawford, CO

NPI 1679664155 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1679664155
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
37870 Polson Rd
Crawford, CO 81415-9411
Phone
(970) 921-5379
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

37870 Polson Rd
Crawford, CO 81415-9411

Mailing address

PO Box 310
Hotchkiss, CO 81419-0310
Phone (970) 921-5379

Other providers in Crawford, CO

All providers in Crawford, CO · Pastoral Counselor in Colorado

Sources for this page

Verify at the official NPI Registry.