Leonard, Janice D

Leonard, Janice D is an individual health care provider with primary practice located at 615 Pearl St , Fayetteville NC 28303-4362. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Leonard, Janice D can be contacted via phone (910) 323-5641.

Contact Information

Primary practice address
615 Pearl St Fayetteville NC 28303-4362
Phone: (910) 323-5641
Fax: (910) 426-3059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C003634 North Carolina

Profile Details

NPI number 1871553479
LBN Legal business name Leonard, Janice D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871553479 NPPES
North Carolina Other 017VF BCBS OF NC
North Carolina MEDICAID 6002393 BCBS OF NC

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