Leslie, Jerry Dean
Leslie, Jerry Dean is an sole proprietor health care provider with primary practice located at 205 Center Ave , Brownwood TX 76801-2919. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Leslie, Jerry Dean can be contacted via phone (325) 649-4357.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 8837 | Texas |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 6165 | Texas |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8837 | Texas |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 673 | Texas |
Profile Details
NPI number | 1912038480 |
---|---|
LBN Legal business name | Leslie, Jerry Dean |
Credentials | LCP,LMFT,LCDC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Mar 21st, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912038480 | NPPES |
Texas | Other | 2439676 | CIGNA |
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