Individual
DALLAS LEONARD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6639 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 261-0160
Mailing address
6639 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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