Individual
JOHN DOUGLAS LEYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-BACS, ACSW
Contact information
Practice address
11745 BRICKSOME AVE STE B3, BATON ROUGE, LA 70816-2369
(225) 610-4750
Mailing address
11745 BRICKSOME AVE STE B3, BATON ROUGE, LA 70816-2369
(225) 610-4750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5330
LA
Other
Enumeration date
07/22/2014
Last updated
09/28/2022
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