MEDICARE: MS. LESLIE HARMAN MA

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	01058	NV
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	109LC	NV
3	101YP2500X	Professional Counselor	CP0011	NV

General Provider Information

NPI Number	:	1831383959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE HARMAN MA

Provider Business Mailing Address
First Line	:	PO BOX 12295
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89510-2295
Country	:	US
Telephone Number	:	775-287-6784
Fax Number	:	866-434-1033

Provider Business Practice Location Address
First Line	:	421 W PLUMB LN
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-3766
Country	:	US
Telephone Number	:	775-287-6784
Fax Number	:	866-434-1033

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

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	01/25/2010

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