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NPI Code Detail

MEDICARE: ANDREA LEIGH-LESLEY ADAIR M.S.

MEDICARE: ANDREA LEIGH-LESLEY ADAIR M.S.
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

General Provider Information

NPI Number : 1881992303
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LEIGH-LESLEY ADAIR M.S.
Provider Business Mailing Address
First Line : 5213 BLANE DR
Second Line :
City : TEMPLE TERRACE
State : FL
Zip : 33617-4732
Country : US
Telephone Number : 813-210-4309
Fax Number :
Provider Business Practice Location Address
First Line : 5520 W IDLEWILD AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-8015
Country : US
Telephone Number : 813-210-4309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2011
Last Update Date : 03/08/2011

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