Individual
MR. LESLIE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.A.P.
Contact information
Practice address
5664 SW 60TH AVENUE, OCALA, FL 34474-5677
(352) 291-5456
(352) 291-5582
Mailing address
5664 SW 60TH AVE, OCALA, FL 34474-5677
(352) 291-5456
(352) 291-5582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CERT #2027
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CERT #2027
C.A.P.
FL
Enumeration date
04/30/2009
Last updated
04/30/2009
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