Individual provider · Type 1 NPI

Leslie A. Mastbaum

Addiction (Substance Use Disorder) Counselor · Lancaster, SC

NPI number 1063992964 Active

Practice location

114 S Main St
Lancaster, SC 29720

Call (803) 285-6911 Map

Mailing address

PO Box 1627
Lancaster, SC 29721-1627

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063992964

Leslie A. Mastbaum's National Provider Identifier is 1063992964, issued on Aug 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, SC. The record was last updated on Aug 23, 2018.