MEDICARE: DANIELLE LOUISE LEONARD

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
1	101YP2500X	Professional Counselor	CTB20250946	NM

General Provider Information

NPI Number	:	1447188719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE LOUISE LEONARD

Provider Business Mailing Address
First Line	:	200 GONZALES RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-6101
Country	:	US
Telephone Number	:	505-660-2367
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 GONZALES RD
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-6101
Country	:	US
Telephone Number	:	505-660-2367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ DANIELLE LOUISE LEONARD ” Practice Location

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