Individual provider · Type 1 NPI

Jessica Wingo Leatherwood, LPC

Professional Counselor · Cedartown, GA

NPI number 1174911275 Active

Practice location

62 Coaling Rd
Cedartown, GA 30125-6100

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC007851 (GA)

Professional Counselor: Definition to come...

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About NPI 1174911275

Jessica Wingo Leatherwood, LPC's National Provider Identifier is 1174911275, issued on Dec 26, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cedartown, GA. The record was last updated on Dec 26, 2014.