Leslie, Jerry Dean

Leslie, Jerry Dean is an sole proprietor health care provider with primary practice located at 205 Center Ave , Brownwood TX 76801-2919. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Leslie, Jerry Dean can be contacted via phone (325) 649-4357.

Contact Information

Primary practice address
205 Center Ave Brownwood TX 76801-2919
Phone: (325) 649-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 8837 Texas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6165 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 8837 Texas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 673 Texas

Profile Details

NPI number 1912038480
LBN Legal business name Leslie, Jerry Dean
Credentials LCP,LMFT,LCDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Mar 21st, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912038480 NPPES
Texas Other 2439676 CIGNA

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