Provider Demographics
NPI:1750615712
Name:LEON, ERINN (MA,LPC)
Entity type:Individual
Prefix:MRS
First Name:ERINN
Middle Name:
Last Name:LEON
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 S HIGLEY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-5045
Mailing Address - Country:US
Mailing Address - Phone:424-291-2635
Mailing Address - Fax:
Practice Address - Street 1:3271 E QUEEN CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-8511
Practice Address - Country:US
Practice Address - Phone:480-550-3193
Practice Address - Fax:480-550-3194
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-17624101YP2500X
AZLAC-12718101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional