Individual provider · Type 1 NPI

Glen Stewart Leonard

Counselor · Portland, OR

NPI number 1063239812 Active

Practice location

4055 SW Garden Home Rd
Portland, OR 97219-3664

Call (503) 766-4000 Map

Mailing address

2420 NW Quimby St Apt 12
Portland, OR 97210-2662

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063239812

Glen Stewart Leonard's National Provider Identifier is 1063239812, issued on Sep 23, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Sep 23, 2024.