Individual
CHRISTIAN NICOLE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 EDEN AVE STE 349, EDINA, MN 55436-2316
(757) 348-5510
Mailing address
1490 OTTERBOURNE CIR, CHESAPEAKE, VA 23320-2947
(757) 348-5510
(757) 312-0547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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