Individual
JUSTIN C LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1430 WILLOW LN, WEST PARK C61-2, NORTH WILKESBORO, NC 28659-3551
(336) 667-5151
(828) 262-5687
Mailing address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(828) 263-5666
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1504
NC
101YP2500X
Professional Counselor
Primary
7601
NC
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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