Individual
SANDRA LEAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 SIMON BOLIVAR AVE, NEW ORLEANS, LA 70113-2222
(770) 315-5146
Mailing address
7929 ESSEN COVE DR, BATON ROUGE, LA 70809-7323
(770) 315-5146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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