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Individual

MRS. LEILA G TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3950 CENTRAL AVE, MEMPHIS, TN 38111-7602
(901) 458-6291
(901) 323-4848
Mailing address
3950 CENTRAL AVE, MEMPHIS, TN 38111-7602
(901) 458-6291
(901) 323-4848

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC0000001532
TN
101YM0800X
Mental Health Counselor
LPC0000001532
TN
101YP2500X
Professional Counselor
Primary
LPC0000001532
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2286964
CIGNA
01
4127477
TN BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/10/2006
Last updated
02/04/2008
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