Nickens, Leslie

Nickens, Leslie is an sole proprietor health care provider with primary practice located at 1525 Superior Ave Ste 214 , Newport Beach CA 92663-3639. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Nickens, Leslie can be contacted via phone (949) 561-2116.

Contact Information

Primary practice address
1525 Superior Ave Ste 214 Newport Beach CA 92663-3639
Phone: (949) 561-2116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PCCI2792 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 113583 California

Profile Details

NPI number 1083066708
LBN Legal business name Nickens, Leslie
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2016
Last updated Nov 6th, 2020 - about 4 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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