Provider Demographics
NPI:1639423007
Name:MCLEOD, JOVAN N (LPC)
Entity Type:Individual
Prefix:
First Name:JOVAN
Middle Name:N
Last Name:MCLEOD
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 1:6220 THERMAL RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-5630
Mailing Address - Country:US
Mailing Address - Phone:855-362-8470
Mailing Address - Fax:704-362-8464
Practice Address - Street 1:1540 PURDUE DR STE 300
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303
Practice Address - Country:US
Practice Address - Phone:855-362-8470
Practice Address - Fax:704-362-8464
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-06
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional