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Provider Information for 1396355079


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LESLIE LEIGH JONES LCSW


Sex: Female

NPI: 1396355079
Last Updated: 2024-12-11
Certification Date: 2024-12-11

Details

NameValue
NPI1396355079
Enumeration Date2020-08-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 826 SAND HILLS DR
NEWPORT, NC 28570-6708
United States

Phone: 252-675-5021 | Fax:
 
Primary Practice Address 1309 TATUM DR
NEW BERN, NC 28560-4314
United States

Phone: 252-672-8742 | Fax:
 
Secondary Practice Address(es)

826 SAND HILLS DR
NEWPORT, NC 28570-6708
United States

Phone: 252-675-5021 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)LCAS-27223
Yes 1041C0700X - Social Worker - ClinicalNCC015978