Individual
LEONARD JASON ANTHONY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
15 N COURT ST, FREDERICK, MD 21701-5413
(301) 276-5196
Mailing address
11 BYTE CT STE C, FREDERICK, MD 21702-8718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14069
MD
Other
Enumeration date
05/29/2018
Last updated
11/08/2024
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