Doctor Name: | LEONARD ADAM MONFREDO |
NPI Number: | 1144341843 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | LC0086 |
Business Practice Address: | 2914 E Joppa Rd Suite 100 Parkville, MD - 212343031 |
Business Phone Number: | 4109606448 |
Business Fax Number: | 4108701711 |
Mailing Address: | 2914 E Joppa Rd, Suite 100 PARKVILLE |
State: | MD |
Postal Code: | 212343031 |
Phone Number: | 4109606448 |
Fax Number: | 4108701711 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LC0086 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |