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NPI Code Detail

MEDICARE: LESLEY A EDDINGTON LLPC, LLMFT, NCC

MEDICARE: LESLEY A EDDINGTON LLPC, LLMFT, NCC
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
1101YP2500XProfessional Counselor6401013791MI

General Provider Information

NPI Number : 1689829954
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLEY A EDDINGTON LLPC, LLMFT, NCC
Provider Business Mailing Address
First Line : 109 S UNION ST
Second Line : SUITE 208
City : TRAVERSE CITY
State : MI
Zip : 49684-2590
Country : US
Telephone Number : 720-469-5930
Fax Number :
Provider Business Practice Location Address
First Line : 4230 COPPER RIDGE DR BLDG E
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-7256
Country : US
Telephone Number : 231-935-6382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2008
Last Update Date : 10/30/2025

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