Leonard Jason Anthony Jr., MA
Counselor, Mental Health in Frederick, MD. Individual provider (NPI-1).
NPI number1639660442
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1639660442
- Entity type
- Individual (NPI-1)
- Name
- Leonard Jason Anthony Jr.
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2018
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LC14069 | MD | Yes |
Practice location
15 N Court StFrederick, MD 21701-5413
Phone 301-276-5196
Mailing address
11 Byte Ct Ste CFrederick, MD 21702-8718
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