Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leo Gormley, CRADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811392798

Leo Gormley, CRADC is an Addiction (Substance Use Disorder) Counselor in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2014
Specialties on file
2

Practice location Address checks out

6763 Page Ave # MO
Saint Louis, MO 63133-1635
Phone: (314) 206-3910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3248 Vandever Ave, Pekin, IL 61554-6257 — (309) 347-5579

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 11787 (MO)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1811392798
Entity typeIndividual (Type 1)
GenderMale
Credentials CRADC
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESMarch 22, 2022
Certification dateMarch 2, 2022

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