Provider Demographics
NPI:1407025422
Name:LEONARD, RONALD CHARLES (PCC)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:CHARLES
Last Name:LEONARD
Suffix:
Gender:M
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 CHAGRIN RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-6344
Mailing Address - Country:US
Mailing Address - Phone:440-781-7323
Mailing Address - Fax:
Practice Address - Street 1:11051 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:AUBURN TWP
Practice Address - State:OH
Practice Address - Zip Code:44023-5565
Practice Address - Country:US
Practice Address - Phone:440-781-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-23
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0008409101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor