Provider Demographics
NPI:1417404997
Name:HOWARD LEONCE, JENNIFER PEARL (LPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:PEARL
Last Name:HOWARD LEONCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:PEARL
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:629 SAMUEL CARY DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3295
Mailing Address - Country:US
Mailing Address - Phone:919-656-3828
Mailing Address - Fax:
Practice Address - Street 1:629 SAMUEL CARY DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3295
Practice Address - Country:US
Practice Address - Phone:919-656-3828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8047101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional