Individual
JEFF ALAN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
246 E CAMPUS VIEW BLVD, COLUMBUS, OH 43235-4634
(614) 431-4600
(614) 431-4601
Mailing address
246 E.CAMPUS VIEW BLVD, COULUMBUS, OH 43235
(614) 413-4600
(614) 431-4601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
943806
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205877637
—
OH
05
—
ID43376973
—
OH
Enumeration date
09/20/2018
Last updated
09/20/2018
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