MEDICARE: CHRISTOPHER 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508267592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER LEONARD

Provider Business Mailing Address
First Line	:	2244 119TH ST
Second Line	:
City	:	COLLEGE POINT
State	:	NY
Zip	:	11356-2516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2244 119TH ST
Second Line	:
City	:	COLLEGE POINT
State	:	NY
Zip	:	11356-2516
Country	:	US
Telephone Number	:	917-563-3374
Fax Number	:

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

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	09/09/2014

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Directions to “ CHRISTOPHER LEONARD ” Practice Location

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