Healthcare Provider Details

I. General information

NPI: 1598123242
Provider Name (Legal Business Name): CHRISTINE LEONARD LAC, LPC, AADC, SAP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2016
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 W MARTINTOWN RD
NORTH AUGUSTA SC
29841-3187
US

IV. Provider business mailing address

431 W MARTINTOWN RD
NORTH AUGUSTA SC
29841-3187
US

V. Phone/Fax

Practice location:
  • Phone: 803-278-0880
  • Fax:
Mailing address:
  • Phone: 803-278-0880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10522
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: