Individual
LESA LEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
762 INDEPENDENCE BLVD, STE 100C, VIRGINIA BEACH, VA 23455-6200
(757) 515-5559
Mailing address
1161 BIRDNECK LAKE DR, VIRGINIA BEACH, VA 23451-6615
(757) 515-5559
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3835
OR
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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