Provider Demographics
NPI:1184755340
Name:LEEPER, JENNIFER DAWN (LPC)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:DAWN
Last Name:LEEPER
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 1:3801 TROUGH SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:TN
Mailing Address - Zip Code:37010-9060
Mailing Address - Country:US
Mailing Address - Phone:931-237-1868
Mailing Address - Fax:
Practice Address - Street 1:1891 OLD TRENTON RD
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-6734
Practice Address - Country:US
Practice Address - Phone:931-552-4171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health