Provider Demographics
NPI:1104049147
Name:LEONARD-PROCTOR, VERLONDA KAYE (LPC-SUPERVISOR)
Entity type:Individual
Prefix:MRS
First Name:VERLONDA
Middle Name:KAYE
Last Name:LEONARD-PROCTOR
Suffix:
Gender:F
Credentials:LPC-SUPERVISOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2802 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1072
Mailing Address - Country:US
Mailing Address - Phone:281-412-0813
Mailing Address - Fax:281-412-0813
Practice Address - Street 1:2802 RED OAK LN
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1072
Practice Address - Country:US
Practice Address - Phone:281-412-0813
Practice Address - Fax:281-412-0813
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59872101YP2500X
TX101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool