Jacquanna Janice Leysath
Jacquanna Janice Leysath is a Community/Behavioral Health Agency in West Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1607 F AveWest Columbia, SC 29169-6174
Phone: (803) 552-1102
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1104578061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 21, 2022 |
| Last updated in NPPES | January 21, 2022 |
| Certification date | January 21, 2022 |
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