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General NPI Number Information
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NPI Number | 1568035657
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Entity Type | Individual
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Provider Name | LEANDRA LESTER LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 3015 MEDLIN DR STE 100
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City | ARLINGTON
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State | TX
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Zip | 76015-2360
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Country | US
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Telephone | 214-477-1757
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 WILDBRIAR LN
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City | MANSFIELD
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State | TX
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Zip | 76063-6764
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Country | US
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Telephone | 214-477-1757
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 81986
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License Number State | TX
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