Individual
MS. LESLIE MALKEMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFTA
Contact information
Practice address
970 LOGAN ST STE 110, NOBLESVILLE, IN 46060-2253
(317) 760-1446
Mailing address
14334 BALD EAGLE DR APT 303, NOBLESVILLE, IN 46060-8719
(317) 379-3128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39002950A
IN
101YM0800X
Mental Health Counselor
39002950A
IN
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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