person
George Fred Leonard
Peer Specialist in Riverton, Wyoming
NPI 1619677135

George Fred Leonard is a Peer Specialist based in Riverton, WY. George Fred Leonard practices in Riverton, WY. The NPI Number for George Fred Leonard is 1619677135 and holds a License No. (Wyoming).

The current practice location address for George Fred Leonard is 511 N 12Th St E, Riverton, WY and can be reached out via phone at 307-856-9281. You can also correspond with George Fred Leonard through the mailing address at PO BOX 1310, RIVERTON, WY - 82501-0158 (mailing address contact number: 307-856-9281).

Location: 511 N 12Th St E, Riverton, WY, 82501-0158
person
Provider Profile Details
NPI Number
1619677135
Provider Name
George Fred Leonard
Credential
Provider Entity Type
Individual
Gender
Male
Address
511 N 12Th St E, Riverton, WY, 82501-0158
Phone Number
307-856-9281
Fax Number
Provider Enumeration Date
03/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
511 N 12Th St E
City
State
Zip
82501-3805
Phone Number
307-856-9281
Fax Number
person
Provider Business Mailing Address Details
Address
511 N 12Th St E
City
State
Zip
82501-3805
Phone Number
307-856-9281
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Wyoming)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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