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General NPI Number Information
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NPI Number | 1881918944
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Entity Type | Individual
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Provider Name | GARRETT MARK LESLIE LMHC, FL-CSPV.
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Gender | Male
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Dates
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Enumeration Date | 03/18/2010
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 101 S CENTRAL AVE
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City | OVIEDO
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State | FL
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Zip | 32765-9027
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Country | US
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Telephone | 407-415-6557
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Fax | 407-680-5628
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Provider Business Mailing Address
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Address Line | 101 S CENTRAL AVE
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City | OVIEDO
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State | FL
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Zip | 32765-9027
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Country | US
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Telephone | 407-415-6557
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Fax | 407-680-5628
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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 | PMH931
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 20311
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | ID702838
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | ID702838
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | EXPIRED
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C-BSW
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH10254
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License Number State | FL
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