Individual provider · Type 1 NPI

Martha Kelly Leon

Professional Counselor · Shreveport, LA

NPI number 1124682117 Active

Practice location

458 Herndon St
Shreveport, LA 71101-4859

Other practice locations

  • 856 Texas Ave, Shreveport, LA 71101-3400 · (318) 429-6938

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XPLC9331 (LA)

Professional Counselor: Definition to come...

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About NPI 1124682117

Martha Kelly Leon's National Provider Identifier is 1124682117, issued on Apr 25, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Jan 13, 2023.