Provider Demographics
NPI:1396069241
Name:LECKEL, KATHERINE L (MS, LPCMH)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:LECKEL
Suffix:
Gender:F
Credentials:MS, LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-3403
Mailing Address - Country:US
Mailing Address - Phone:392-576-8080
Mailing Address - Fax:302-576-8084
Practice Address - Street 1:401 E 12TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-3403
Practice Address - Country:US
Practice Address - Phone:302-576-8080
Practice Address - Fax:302-576-8084
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000486101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional