Individual
LESLIE RENEE MONTES FERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256-4621
(317) 621-5100
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
34007399A
IN
1041C0700X
Clinical Social Worker
Primary
34007399A
IN
1041C0700X
Clinical Social Worker
59006
TX
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360266602
—
TX
01
—
360266603
CSHCN
TX
Enumeration date
06/22/2016
Last updated
03/05/2021
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