Active NPIIndividual providerSole proprietor

Justine M Leonard, MFC36954

Marriage & Family Therapist in Freedom, Maine

NPI Number1982406740
Practice location
37 Ledges Ln, Freedom, ME 04941-3247
Fax
—
Last updated
March 25, 2025

Justine Melisande Leonard is a Marriage & Family Therapist based in Freedom, ME. Justine Melisande Leonard practices in Freedom, ME and has the professional credentials of MFC36954. The NPI Number for Justine Melisande Leonard is 1982406740 and holds a License No. 36954 (CA). The current practice location address for Justine Melisande Leonard is 37 Ledges Ln, Freedom, ME 04941-3247 and can be reached out via phone at 510-710-2301.

Provider Profile Details

NPI Number
1982406740
Provider Name
Justine Melisande Leonard
Credential
MFC36954
Provider Entity Type
Individual
Gender
Female
Address
37 Ledges Ln, Freedom, ME 04941-3247
Phone Number
510-710-2301
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Other Names
Justine Melisande Polevoy, MFC36954 (Professional Name)
Provider Enumeration Date
March 25, 2025
Last Update Date
March 25, 2025
Certification Date
March 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Ledges Ln
Freedom, ME 04941-3247
State
Maine
Zip
04941-3247
Phone Number
510-710-2301
Freedom, ME 04941Get directions →

Provider Business Mailing Address Details

Address
37 Ledges Ln
Freedom, ME 04941-3247
City
Freedom
State
ME
Zip
04941-3247
Phone Number
510-710-2301

License Information

License Number
36954
License State
CA
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justine M Leonard, MFC36954?

The NPI number of Justine M Leonard, MFC36954 is 1982406740. It was assigned on March 25, 2025 and is currently active in the NPPES registry.

What is the specialty of Justine M Leonard, MFC36954?

Justine M Leonard, MFC36954 is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CA under license number 36954.

Where does Justine M Leonard, MFC36954 practice?

The practice location is 37 Ledges Ln, Freedom, ME 04941-3247. The office can be reached at 510-710-2301 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982406740 directly on the NPPES registry website.

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