Leon, Latasha

Leon, Latasha is an sole proprietor health care provider with primary practice located at 200 White Eagle Dr , Ponca City OK 74601-8315. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Leon, Latasha can be contacted via phone (580) 304-2493.

Contact Information

Primary practice address
200 White Eagle Dr Ponca City OK 74601-8315
Phone: (580) 304-2493
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1446 Oklahoma

Profile Details

NPI number 1255797460
LBN Legal business name Leon, Latasha
Credentials LADC-MH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2016
Last updated Jul 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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