Individual
MR. LEONARD JOSEPH SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LCPC
Contact information
Practice address
17320 MOORE RD, BOYDS, MD 20841-9530
(240) 621-0836
Mailing address
17320 MOORE RD, BOYDS, MD 20841-9530
(240) 621-0836
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5102
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091470300
—
MD
Enumeration date
08/27/2013
Last updated
11/14/2018
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