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General NPI Number Information
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NPI Number | 1164084505
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Entity Type | Individual
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Provider Name | MICHELLE KEBBY LEON LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 07/06/2019
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1325 SAN MARCO BLVD STE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8567
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Country | US
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Telephone | 904-376-3800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 748519
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City | ATLANTA
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State | GA
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Zip | 30374-8519
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Country | US
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Telephone | 904-376-3800
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Fax | 904-396-8971
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH15791
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License Number State | FL
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