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Tiffany Juliana Leonard
Mental Health Counselor in Massapequa Park, New York
NPI 1417641986

Tiffany Juliana Leonard is a Mental Health Counselor based in Farmingville, NY and is specialized in Mental Health. Tiffany Juliana Leonard practices in Massapequa Park, NY. The NPI Number for Tiffany Juliana Leonard is 1417641986 and holds a License No. P119572 (New York).

The current practice location address for Tiffany Juliana Leonard is 4770 Sunrise Hwy Ste 102, Massapequa Park, NY and can be reached out via phone at 516-406-8991.

Location: 4770 Sunrise Hwy Ste 102, Massapequa Park, NY, 11738-1923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417641986
Provider Name
Tiffany Juliana Leonard
Credential
Provider Entity Type
Individual
Gender
Female
Address
4770 Sunrise Hwy Ste 102, Massapequa Park, NY, 11738-1923
Phone Number
516-406-8991
Fax Number
Provider Enumeration Date
06/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4770 Sunrise Hwy Ste 102
City
Massapequa Park
State
New York
Zip
11762-2911
Phone Number
516-406-8991
Fax Number
person
Provider Business Mailing Address Details
Address
4770 Sunrise Hwy Ste 102
City
Massapequa Park
State
New York
Zip
11762-2911
Phone Number
516-406-8991
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P119572 (New York)
Definition
Definition to come...
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