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NPI Code Detail

MEDICARE: LESLIE MARIE VALENCIA

MEDICARE: LESLIE MARIE VALENCIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1174285753
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE MARIE VALENCIA
Provider Business Mailing Address
First Line : 170 S OAKLAND AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2561
Country : US
Telephone Number : 818-242-9403
Fax Number :
Provider Business Practice Location Address
First Line : 170 S OAKLAND AVE
Second Line :
City : PASADENA
State : CA
Zip : 91101-2561
Country : US
Telephone Number : 818-242-9403
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2021
Last Update Date : 11/13/2024

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Directions to “ LESLIE MARIE VALENCIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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