Individual
MR. LEONARD H SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
605 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-2859
(201) 914-4106
Mailing address
4 SUBURBIA TER, JERSEY CITY, NJ 07305-1254
(201) 914-4106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37PC00578700
NJ
101YP2500X
Professional Counselor
Primary
37PC00578700
NJ
106H00000X
Marriage & Family Therapist
37PC00578700
NJ
Other
Enumeration date
02/09/2017
Last updated
04/26/2017
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