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Individual

KENIA MERCEDES LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, LCADC

Contact information

Practice address
2075 JORDAN AVE, JUNEAU, AK 99801-8095
(907) 789-7610
Mailing address
2075 JORDAN AVE, JUNEAU, AK 99801-8095
(907) 789-7610

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
01392
NV
106H00000X
Marriage & Family Therapist
120407
CA
106H00000X
Marriage & Family Therapist
Primary
177441
AK
106H00000X
Marriage & Family Therapist
65371
CA

Other

Enumeration date
11/19/2012
Last updated
07/27/2022
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