Individual provider · Type 1 NPI

Leslie Ingrid Rheault, MA, LPC

Mental Health Counselor · Medford, OR

NPI number 1093014391 Active

Practice location

2191 Canal St
Medford, OR 97501-4338

Call (541) 499-1088 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC1655 (OR)
Mental Health Counselor Primary 101YM0800X4608066 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1093014391

Leslie Ingrid Rheault, MA, LPC's National Provider Identifier is 1093014391, issued on Mar 25, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Mar 13, 2023.