Provider Demographics
NPI:1134600539
Name:LEONARD, ALLISON (LPCC)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:OK
Mailing Address - Zip Code:73460-2224
Mailing Address - Country:US
Mailing Address - Phone:580-371-0321
Mailing Address - Fax:580-371-0321
Practice Address - Street 1:201 S MURRAY ST
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:OK
Practice Address - Zip Code:73460-2224
Practice Address - Country:US
Practice Address - Phone:580-371-0321
Practice Address - Fax:580-371-0131
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor