Lesli St John, LPC, LAC | |
1591 Taos Rd, Pueblo, CO 81006-1232 | |
(719) 423-1341 | |
Not Available |
Full Name | Lesli St John |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1591 Taos Rd, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598160954 | NPI | - | NPPES |
ACD.0000419 | Other | CO | LICENSED ADDICTION COUNSELOR |
LPC.0012473 | Other | CO | LPC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000419 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | LPC.0012473 (Colorado) | Primary |
Entity Name | Health Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033165527 PECOS PAC ID: 0143110668 Enrollment ID: O20040318000467 |
Entity Name | Spanish Peaks New Alternatives Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508250911 PECOS PAC ID: 4385947134 Enrollment ID: O20160128000583 |
Entity Name | Sondermind Provider Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Lesli St John, LPC, LAC 41 Montebello Rd Ste 204, Pueblo, CO 81001-1379 Ph: (719) 423-1341 | Lesli St John, LPC, LAC 1591 Taos Rd, Pueblo, CO 81006-1232 Ph: (719) 423-1341 |
Mr. Darren Mitchell Speier, BS CAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 509 E 13th St, Pueblo, CO 81001 Phone: 719-546-6666 Fax: 719-543-7764 | |
Penelope Hyland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100 | |
Melissa Mahan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1026 W Abriendo Ave, Pueblo, CO 81004 Phone: 719-545-2746 Fax: 719-545-4100 | |
Jaycob Gonzales-cordova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1302 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-423-1882 | |
James Ryan Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0110 | |
Felicia Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1591 Taos Rd, Pueblo, CO 81006 Phone: 719-545-2746 | |
Stanley Schleifer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1304 Chinook Ln, Pueblo, CO 81001 Phone: 719-545-2746 Fax: 719-584-0119 |