Basic Information
| Provider Information | |||||||||
| NPI: | 1396069241 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LECKEL | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MS, LPCMH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 E 12TH ST | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198013403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3925768080 | ||||||||
| FaxNumber: | 3025768084 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 E 12TH ST | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198013403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3025768080 | ||||||||
| FaxNumber: | 3025768084 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2010 | ||||||||
| LastUpdateDate: | 10/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC-0000486 | DE | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.