Staff, Leslie M

Staff, Leslie M is an individual health care provider with primary practice located at 3368 Washington St , Boston MA 02130-2612. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Staff, Leslie M can be contacted via phone (617) 892-7827.

Contact Information

Primary practice address
3368 Washington St Boston MA 02130-2612
Phone: (617) 892-7827
Fax: (617) 522-0348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X XL3442 Maine

Profile Details

NPI number 1104077007
LBN Legal business name Staff, Leslie M
Credentials LCPC, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2008
Last updated Dec 18th, 2015 - about 11 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 1104077007 NPPES
Maine MEDICAID 433129599
Maine Other 9066
Maine Other CC3690

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