Individual
MRS. ABIGAIL DEWITT LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4772
SC
101YP2500X
Professional Counselor
Primary
LPC008167
GA
174400000X
Specialist
4772
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155023A
—
GA
01
—
17
OTHER SERVICES
SC
05
—
PC1065
—
SC
Enumeration date
11/13/2006
Last updated
06/17/2016
Update your record
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