Individual
RYAN P LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-A
Contact information
Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 467-3790
Mailing address
644 N MAIN ST UNIT 230, GREENVILLE, SC 29601-1680
(515) 480-6824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7547
SC
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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