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Individual

MS. KATHLEEN RAE LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MAC, CADCIII

Contact information

Practice address
135 E 6TH AVE, EUGENE, OR 97401-2618
(541) 682-3965
Mailing address
4969 D ST, SPRINGFIELD, OR 97478-6037
(541) 741-6226
(541) 682-2048

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
900108
OR

Other

Enumeration date
10/23/2006
Last updated
07/08/2007
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