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NPI Code Detail

MEDICARE: DR. LEONARD TENNART LPC

MEDICARE: DR. LEONARD TENNART LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP1600XPastoral CounselorCBC-236LA
2101YP2500XProfessional Counselor4927LA

General Provider Information

NPI Number : 1083031488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD TENNART LPC
Provider Business Mailing Address
First Line : 11833 GOODWOOD BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-6230
Country : US
Telephone Number : 225-614-8544
Fax Number : 225-389-6331
Provider Business Practice Location Address
First Line : 7569 E INDUSTRIAL DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-7518
Country : US
Telephone Number : 225-302-7769
Fax Number : 225-389-6331
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2014
Last Update Date : 03/24/2014

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Directions to “ DR. LEONARD TENNART LPC” Practice Location

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