Doctor Name: | MICHAEL NELSON LEONARD |
NPI Number: | 1407231855 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LLMSW |
License Number: | 6801097307 |
Business Practice Address: | 801 Hazen St Suite C Paw Paw, MI - 490792008 |
Business Phone Number: | 2696553334 |
Business Fax Number: | |
Mailing Address: | 801 Hazen St, Suite C PAW PAW |
State: | MI |
Postal Code: | 490792008 |
Phone Number: | 2696553334 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2015 |
NPI Last Update Date: | 07/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801097307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |