Provider Demographics
NPI:1003321191
Name:LEONARD, ALESHA RAENEVA (LCPC)
Entity Type:Individual
Prefix:
First Name:ALESHA
Middle Name:RAENEVA
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23127 THREE NOTCH RD # 101102
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-2402
Mailing Address - Country:US
Mailing Address - Phone:443-684-6001
Mailing Address - Fax:
Practice Address - Street 1:23127 THREE NOTCH RD # 101102
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-2402
Practice Address - Country:US
Practice Address - Phone:443-684-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
MDLC12621101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst