Individual provider · Type 1 NPI

Leslie D. Mavromatis, LICSW

Mental Health Counselor · Bridgeport, WV

NPI number 1922546175 Active

Practice location

527 Medical Park Dr
Bridgeport, WV 26330-9008

Fax (304) 933-3887

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XDP00944782 (WV)

Mental Health Counselor: Definition to come...

35 other providers at this address

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About NPI 1922546175

Leslie D. Mavromatis, LICSW's National Provider Identifier is 1922546175, issued on Feb 8, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bridgeport, WV. The record was last updated on Feb 8, 2017.