Provider Information for 1700446689
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
BROOKE LESLEY LCSW
Sex: Female
NPI: 1700446689
Last Updated: 2024-07-16
Certification Date: 2024-07-16
Certification Date: 2024-07-16
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1700446689 | ||||||||||||||
| Enumeration Date | 2019-06-13 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4099 SE FORTRESS LN HILLSBORO, OR 97123-2253 United States Phone: 801-207-7988 | Fax: | ||||||||||||||
| Primary Practice Address | 1516 S 1100 E STE A SALT LAKE CITY, UT 84105-2577 United States Phone: 801-207-7988 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||
| Health Information Exchange |
| ||||||||||||||
| Other Identifiers |
| ||||||||||||||
| Taxonomy |
|