Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 59872 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1104049147 |
---|---|
Provider Name | Mrs. Verlonda Kaye Leonard-Proctor |
First Address | Pearland, TX 77584-1072 |
Second Address | Pearland, TX 77584-1072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 21/02/2012 |