Provider Demographics
NPI:1386604551
Name:LEONARD, KATHLEEN TASSY (LPC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:TASSY
Last Name:LEONARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2878 PEBBLE CANYON LN
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-6374
Mailing Address - Country:US
Mailing Address - Phone:281-534-4524
Mailing Address - Fax:
Practice Address - Street 1:2878 PEBBLE CANYON LN
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-6374
Practice Address - Country:US
Practice Address - Phone:281-534-4524
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18522101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional