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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007851 (GA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Cedartown
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.