| Leslie Rheault, Lpc | |
|
2191 Canal St Medford OR 97501-4338 | |
| (541) 499-1088 | |
| Not Available |
| Full Name | Leslie Rheault, Lpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2191 Canal St, Medford, Oregon |
| Authorized Official Name and Position | Leslie Rheault (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5414991088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Rheault, Lpc 2191 Canal St Medford OR 97501-4338 Ph: (541) 499-1088 | Leslie Rheault, Lpc 2191 Canal St Medford OR 97501-4338 Ph: (541) 499-1088 |
| NPI Number | 1861927089 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 04/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861927089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C1655 (Oregon) | Primary |
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