Individual
JOHNNY D LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 ARSENAL AVE, SUITE 202, FAYETTEVILLE, NC 28305-5398
(910) 323-3368
(910) 486-7000
Mailing address
225 FAIRWAY DR APT A, FAYETTEVILLE, NC 28305-5564
(910) 489-0429
(910) 229-3622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2305
NC
101YM0800X
Mental Health Counselor
Primary
9092
NC
101YP2500X
Professional Counselor
9092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112397
—
NC
Enumeration date
10/27/2011
Last updated
07/31/2025
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