Individual
MRS. KERRY ELLEN LEONARD
Active
Individual
MRS. KERRY ELLEN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT, CPRP
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT30252
CA
175T00000X
Peer Specialist
SPBGQWKMOZRYCHFE
CA
225400000X
Rehabilitation Practitioner
NA
CA
Other
Enumeration date
03/28/2007
Last updated
09/14/2023
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