Individual
JOHN LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HUBBARD ST STE C, BLACKSBURG, VA 24060-5745
(540) 808-3382
Mailing address
PO BOX 3441, RADFORD, VA 24143-3441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011533
VA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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