Individual
MRS. CARLA A. LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CS-P
Contact information
Practice address
1206 REGAL LN, CROWNSVILLE, MD 21032-1404
(410) 903-2806
Mailing address
1206 REGAL LN, CROWNSVILLE, MD 21032-1404
(410) 903-2806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R094983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7594691
AETNA
MD
01
—
PR26CA
BLUECROSS BLUESHIELD
MD
01
—
PV127443
APS HEALTHCARE
MD
Enumeration date
12/28/2006
Last updated
07/09/2007
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