Individual
JACQUELINE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1162 OLIVER RD STE 4, MONROE, LA 71201-5757
(318) 340-1535
(318) 340-1539
Mailing address
850 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508-4230
(337) 234-7109
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PLC10074
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/19/2015
Last updated
09/08/2024
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