Individual
MR. LESLIE JAMES BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
2439 ERICSSON ST, EAST ELMHURST, NY 11369-1607
(347) 848-4446
(347) 617-1012
Mailing address
2439 ERICSSON ST, EAST ELMHURST, NY 11369-1607
(347) 848-4446
(347) 617-1012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-T 23862
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23862
CASAC-T
NY
Enumeration date
09/29/2009
Last updated
09/29/2009
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