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Individual

J KEVIN LEONARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC

Contact information

Practice address
BLDG #16 N COUNTY COMPLEX, SUFFOLK CNTY DEPT OF HEALTH DAY REPORTING CENTER, HAUPPAUGE, NY 11788
(631) 853-6281
(631) 853-6254
Mailing address
PO BOX 6100, BLDG #16 N COUNTY COMPLEX SUFFOLK CNTY DEPT OF HEALTH, HAUPPAUGE, NY 11788
(631) 853-6281
(631) 853-6254

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7169
NY

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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