Healthcare Provider Details

I. General information

NPI: 1477920221
Provider Name (Legal Business Name): LESLIE JESUS RUELAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LESLIE JESUS HILLE LCSW

II. Dates (important events)

Enumeration Date: 08/27/2015
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 N STATE ST
HEMET CA
92543-2960
US

IV. Provider business mailing address

41548 BLUE CANYON AVE UNIT 5
MURRIETA CA
92562-5851
US

V. Phone/Fax

Practice location:
  • Phone: 951-791-3300
  • Fax:
Mailing address:
  • Phone: 559-960-4994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number107564
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: