Individual
JONATHAN HUNTER LEACHMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(470) 732-3789
Mailing address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APC--6464
GA
101YP2500X
Professional Counselor
Primary
LPC011533
GA
Other
Enumeration date
04/30/2019
Last updated
03/23/2021
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