Provider Demographics
NPI:1366816159
Name:LEONARD, SHARRON ANGELINE (LPC)
Entity Type:Individual
Prefix:
First Name:SHARRON
Middle Name:ANGELINE
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2260 FLICKER DR
Mailing Address - Street 2:#190
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-7173
Mailing Address - Country:US
Mailing Address - Phone:859-609-5667
Mailing Address - Fax:
Practice Address - Street 1:2260 FLICKER DR
Practice Address - Street 2:#190
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-7173
Practice Address - Country:US
Practice Address - Phone:859-609-5667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH(C1300307101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional