Individual
MRS. NICOLE MARIE LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLPC
Contact information
Practice address
715 N LAPEER RD, LAKE ORION, MI 48362-1530
(248) 693-7526
Mailing address
47454 FREDERICK RD, SHELBY TOWNSHIP, MI 48317-2808
(586) 739-3970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012359
MI
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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