Individual provider · Type 1 NPI

Theodore Leslie

Addiction (Substance Use Disorder) Counselor · Niles, OH

NPI number 1639911522 Active

Practice location

1500 Mckinley Ave
Niles, OH 44446-3718

Mailing address

5760 Patriot Blvd
Austintown, OH 44515-1170

Other practice locations

  • 5760 Patriot Blvd, Austintown, OH 44515-1170 · (330) 953-0243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.186959 (OH)

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

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About NPI 1639911522

Theodore Leslie's National Provider Identifier is 1639911522, issued on Jun 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Niles, OH. The record was last updated on Jun 11, 2024.