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General NPI Number Information
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NPI Number | 1821053786
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Entity Type | Individual
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Provider Name | LESLIE H LEWARK MA LPC CAC III C-AAM
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 750 E 9TH AVE STE 107
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City | DENVER
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State | CO
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Zip | 80203
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Country | US
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Telephone | 303-832-5333
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Fax | 303-832-5333
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Provider Business Mailing Address
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Address Line | PO BOX 100431
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City | DENVER
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State | CO
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Zip | 80250
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Country | US
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Telephone | 303-832-5333
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Fax | 303-832-5333
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2183
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 110
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CO
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