Haven Jane Leland, CTRS
Recreation Therapist in Marion, VA. Individual provider (NPI-1).
NPI number1154920197
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1154920197
- Entity type
- Individual (NPI-1)
- Name
- Ms. Haven Jane Leland
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | 69697 | VA | Yes |
Practice location
927 N Main StMarion, VA 24354-4117
Phone 276-783-7529
Mailing address
927 N Main StMarion, VA 24354-4117
Phone 276-783-7529
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