Individual
MRS. MARANDA MARIE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPE-P
Contact information
Practice address
1112 MAIN ST, VILONIA, AR 72173
(501) 772-9278
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12-12E
AR
103T00000X
Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/08/2010
Last updated
06/13/2019
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