Individual
DESARAE LESHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 N POST RD # A, INDIANAPOLIS, IN 46219-4213
(317) 282-3088
Mailing address
1515 N POST RD # A, INDIANAPOLIS, IN 46219-4213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
08/18/2022
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