Wood, Leslie

Wood, Leslie is an sole proprietor health care provider with primary practice located at 2117 S 7Th St , Ironton OH 45638-2538. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wood, Leslie can be contacted via phone (606) 442-7044.

Contact Information

Primary practice address
2117 S 7Th St Ironton OH 45638-2538
Phone: (606) 442-7044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X QMHS Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.171476 Ohio

Profile Details

NPI number 1184250672
LBN Legal business name Wood, Leslie
Credentials CDCA.171476
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2020
Last updated Jul 17th, 2020 - about 6 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 1184250672 NPPES
Ohio MEDICAID 0395302

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