Individual
LESLIE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1135 PASADENA AVE S STE 231, SOUTH PASADENA, FL 33707-2855
(727) 381-4313
(727) 231-0889
Mailing address
1135 PASADENA AVE S STE 231, SOUTH PASADENA, FL 33707-2855
(727) 381-4313
(727) 231-0889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5428
FL
101YP2500X
Professional Counselor
SW4706
FL
Other
Enumeration date
12/14/2006
Last updated
03/19/2013
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