Abanto Medina, Lesly Gabriela

Abanto Medina, Lesly Gabriela is an individual health care provider with primary practice located at 102 Compass Point Dr , Saint Charles MO 63301-4404. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Abanto Medina, Lesly Gabriela can be contacted via phone (844) 853-8937.

Contact Information

Primary practice address
102 Compass Point Dr Saint Charles MO 63301-4404
Phone: (844) 853-8937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2024011006 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 110769 California

Profile Details

NPI number 1366898579
LBN Legal business name Abanto Medina, Lesly Gabriela
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated Jul 15th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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