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Individual
LESLEY R EATON
Active
Individual
LESLEY R EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
35001960A
IN
106H00000X
Marriage & Family Therapist
MFT.0001408
CO
Other
Enumeration date
07/12/2010
Last updated
08/27/2025
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