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NPI Code Detail

MEDICARE: LESLIE YETTER

MEDICARE: LESLIE YETTER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1225964679
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE YETTER
Provider Business Mailing Address
First Line : 184 HOLIDAY HILLS DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-8006
Country : US
Telephone Number : 304-491-4082
Fax Number :
Provider Business Practice Location Address
First Line : 184 HOLIDAY HILLS DR
Second Line :
City : PARKERSBURG
State : WV
Zip : 26104-8006
Country : US
Telephone Number : 304-491-4082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “ LESLIE YETTER ” Practice Location

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