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NPI Code Detail

MEDICARE: MRS. ERINN LEON MA,LPC

MEDICARE: MRS. ERINN LEON MA,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
1101YP2500XProfessional CounselorLPC-17624AZ
2101YP2500XProfessional CounselorLAC-12718AZ

General Provider Information

NPI Number : 1750615712
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERINN LEON MA,LPC
Provider Business Mailing Address
First Line : 1525 S HIGLEY RD STE 104
Second Line :
City : GILBERT
State : AZ
Zip : 85296-5045
Country : US
Telephone Number : 424-291-2635
Fax Number :
Provider Business Practice Location Address
First Line : 3271 E QUEEN CREEK RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85297-8511
Country : US
Telephone Number : 480-550-3193
Fax Number : 480-550-3194
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 08/03/2021

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