Jerry Dean Leslie in Brownwood - Counselor
Jerry Dean Leslie - NPI 1912038480
Jerry Dean Leslie is a Counselor in Brownwood, Texas. Jerry Dean Leslie practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jerry Dean Leslie is 1912038480. The last update date is 2013-03-21.
Jerry Dean Leslie's current location address is Po Box 1391, Brownwood, Texas. You can contact this provider via phone number 3256494357. The mailing address for Jerry Dean Leslie is Po Box 1391, Brownwood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Dean Leslie |
|---|---|
| Address | Po Box 1391, Brownwood, Texas |
| Phone Number | 3256494357 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCP,LMFT,L |
NPI Number Detail
| NPI Number | 1912038480 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2013-03-21 |
Provider Mailing Address Detail
| Address | Po Box 1391 |
|---|---|
| City | Brownwood |
| State | Texas (TX) |
| Post Code | 768041391 |
| Phone Number | 3256494357 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 8837 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2439676 | TX | CIGNA |
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What is the unique identification code assigned to Jerry Dean Leslie by the Centers for Medicare & Medicaid Services?
The Jerry Dean Leslie has been issued the NPI (National Provider Identifier) 1912038480. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerry Dean Leslie located?
The Jerry Dean Leslie is located at Po Box 1391, Brownwood, TX 768041391.
What is Jerry Dean Leslie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry Dean Leslie is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912038480 to Jerry Dean Leslie?
The Centers for Medicare & Medicaid Services originally issued the 1912038480 to Jerry Dean Leslie on 2007-03-08.
When was the Jerry Dean Leslie's information last updated?
The Jerry Dean Leslie's information was last updated on 2013-03-21.