Provider Demographics
NPI:1972835544
Name:LEONARD, SHARON ANN (PCC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:LEONARD
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 VERNON ODOM BLVD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-4089
Mailing Address - Country:US
Mailing Address - Phone:330-867-6580
Mailing Address - Fax:330-867-7434
Practice Address - Street 1:1569 VERNON ODOM BLVD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-4089
Practice Address - Country:US
Practice Address - Phone:330-867-6580
Practice Address - Fax:330-867-7434
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0007721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional