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General NPI Number Information
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NPI Number | 1427457548
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Entity Type | Individual
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Provider Name | LEIGH CONANT MS, LMFT, SEP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 216 BRYNN MARR RD # 158
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5705
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Country | US
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Telephone | 571-408-9334
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Fax |
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Provider Business Mailing Address
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Address Line | 216 BRYNN MARR RD # 158
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5705
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Country | US
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Telephone | 703-740-7230
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Fax |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1459
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT1418
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 20497
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0717001323
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License Number State | VA
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