Provider Demographics
NPI:1134676034
Name:LEON, JANIE CARMELINA
Entity Type:Individual
Prefix:MS
First Name:JANIE
Middle Name:CARMELINA
Last Name:LEON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JANIE
Other - Middle Name:CARMELINA
Other - Last Name:SILVERIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:68 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-3856
Mailing Address - Country:US
Mailing Address - Phone:978-409-0522
Mailing Address - Fax:
Practice Address - Street 1:360 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1740
Practice Address - Country:US
Practice Address - Phone:978-403-0522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor