Individual
KELLY LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
7828 BROADWAY, LEMON GROVE, CA 91945-1801
(619) 876-4470
Mailing address
PO BOX 880113, SAN DIEGO, CA 92168-0113
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
21380
CA
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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