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General NPI Number Information
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NPI Number | 1932758430
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Entity Type | Individual
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Provider Name | LEON DEVONE BARBER JR. LMSW, CAADC, LICDC
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Gender | Male
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4646 JOHN R ST UNIT B2SOUTH
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-576-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 12939 ASHTON RD
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City | DETROIT
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State | MI
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Zip | 48223-3527
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Country | US
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Telephone | 313-312-5366
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6801117351
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LICDC.162542
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | C-05045
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801117351
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License Number State | MI
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