Individual provider · Type 1 NPI
Leslie Mellenbruch, M.S., L.P.C.
Professional Counselor · Bastrop, TX
NPI number
1386083392
Active
Practice location
944 Highway 71 E, Suite 110-1
Bastrop, TX 78602-5023
Mailing address
PO Box 1631
Bastrop, TX 78602-8631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 15878 (TX) |
Professional Counselor: Definition to come...
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About NPI 1386083392
Leslie Mellenbruch, M.S., L.P.C.'s National Provider Identifier is 1386083392, issued on Jun 24, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bastrop, TX. The record was last updated on Jun 24, 2013.