MEDICARE: LESLIE ANN GUY LMFT

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
1	106H00000X	Marriage & Family Therapist	108238	CA

General Provider Information

NPI Number	:	1669944948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE ANN GUY LMFT

Provider Business Mailing Address
First Line	:	4418 PORTOLA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90032-1130
Country	:	US
Telephone Number	:	626-407-9843
Fax Number	:	323-332-2943

Provider Business Practice Location Address
First Line	:	4418 PORTOLA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90032-1130
Country	:	US
Telephone Number	:	626-407-9843
Fax Number	:	323-332-2943

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2018
Last Update Date	:	10/11/2025

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