Doctor Name: | SHARRON ANGELINE LEONARD |
NPI Number: | 1366816159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | (C1300307 |
Business Practice Address: | 2260 Flicker Dr #190 Hebron, KY - 410487173 |
Business Phone Number: | 8596095667 |
Business Fax Number: | |
Mailing Address: | 2260 Flicker Dr, #190 HEBRON |
State: | KY |
Postal Code: | 410487173 |
Phone Number: | 8596095667 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2015 |
NPI Last Update Date: | 11/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | (C1300307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |