Individual
FERN E LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 LINDY ST, BECKLEY, WV 25801-9213
(304) 583-8180
Mailing address
125 LINDY ST, BECKLEY, WV 25801-9213
(304) 583-8180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AP00942816
WV
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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