Demarco, Leslie

Demarco, Leslie is an sole proprietor health care provider with primary practice located at 1101 Eastside St Se Ste H, Olympia WA 98501-2440. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Demarco, Leslie can be contacted via phone (360) 349-6446.

Contact Information

Primary practice address
1101 Eastside St Se Ste H Olympia WA 98501-2440
Fax: (844) 831-8511
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LH 60604130 Washington

Profile Details

NPI number 1720434954
LBN Legal business name Demarco, Leslie
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2016
Last updated May 9th, 2017 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1720434954 NPPES
Washington MEDICAID 2058854

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