Individual provider · Type 1 NPI

Theresa Mae Leonard

Addiction (Substance Use Disorder) Counselor · Coburg, OR

NPI number 1386530046 Active

Practice location

1 Serenity Ln
Coburg, OR 97408-9350

Call (541) 653-6622 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XT-25-5016 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1386530046

Theresa Mae Leonard's National Provider Identifier is 1386530046, issued on Jun 17, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Coburg, OR. The record was last updated on Jun 17, 2025.